Phillips, Randall

Phillips, Randall is an individual health care provider with primary practice located at 2780 Middle Country Rd Ste 210 , Lake Grove NY 11755-2120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Phillips, Randall can be contacted via phone (631) 588-4500.

Contact Information

Primary practice address
2780 Middle Country Rd Ste 210 Lake Grove NY 11755-2120
Phone: (631) 588-4500
Fax: (631) 588-4595
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 146974 New York

Profile Details

NPI number 1154304962
LBN Legal business name Phillips, Randall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Dec 4th, 2017 - about 9 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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