Dzwonczyk, Philip John

Dzwonczyk, Philip John is an sole proprietor health care provider with primary practice located at 33-57 Harrison St , Johnson City NY 13790-2107. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Dzwonczyk, Philip John can be contacted via phone (607) 763-6622.

Contact Information

Primary practice address
33-57 Harrison St Johnson City NY 13790-2107
Phone: (607) 763-6622
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 142489 New York
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 142489 New York

Profile Details

NPI number 1598739815
LBN Legal business name Dzwonczyk, Philip John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2006
Last updated Oct 25th, 2016 - about 10 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 1598739815 NPPES
New York MEDICAID 00474731

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