Coniglio, Philip Michael

Coniglio, Philip Michael is an individual health care provider with primary practice located at 8 Medical Dr , Port Jefferson Station NY 11776-1601. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Coniglio, Philip Michael can be contacted via phone (631) 928-8585.

Contact Information

Primary practice address
8 Medical Dr Port Jefferson Station NY 11776-1601
Phone: (631) 928-8585
Fax: (631) 928-8861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 050525 New York

Profile Details

NPI number 1851432793
LBN Legal business name Coniglio, Philip Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851432793 NPPES
New York MEDICAID 02428339

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