Dafler, Phil S.

Dafler, Phil S. is an individual health care provider with primary practice located at 14861 State Route 30 , Malone NY 12953-4816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Dafler, Phil S. can be contacted via phone (518) 483-0065.

Contact Information

Primary practice address
14861 State Route 30 Malone NY 12953-4816
Fax: (518) 483-0809
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35-058291 Ohio

Profile Details

NPI number 1538112636
LBN Legal business name Dafler, Phil S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Aug 12th, 2014 - about 11 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 1538112636 NPPES
Ohio MEDICAID 0760903
Ohio Other P00363925
Ohio MEDICAID 02808684

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