Nanette D Phillis, Md, Pllc

LBN: Nanette D Phillis, Md, Pllc
Nanette D Phillis, Md, Pllc is an health care organization with primary practice located at 2365 S Clinton Ave Suite 100, Rochester NY 14618-2663. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Nanette D Phillis, Md, Pllc can be contacted via phone (585) 461-9500, or through Ophardt, Andrew via phone (585) 755-7878.

Contact Information

Primary practice address
2365 S Clinton Ave Suite 100 Rochester NY 14618-2663
Phone: (585) 461-9500
Fax: (585) 271-1432
Website:
Map and Directions
Authorized official contact:
Name: Ophardt, Andrew
Phone: (585) 755-7878

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 195745 New York

Profile Details

NPI number 1588832984
LBN Legal business name Nanette D Phillis, Md, Pllc
DBA Doing business as
Authorized official Ophardt, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2008
Last updated Feb 19th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588832984 NPPES
New York MEDICAID 01563840

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