Datlof, Philip
Datlof, Philip is an individual health care provider with primary practice located at 860 East Broadway , Long Beach NY 11561. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Datlof, Philip can be contacted via phone (516) 889-6690.Contact Information
Primary practice address
860 East Broadway
Long Beach NY 11561
Phone: (516) 889-6690
Fax: (516) 889-6690
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 102229 | New York |
Profile Details
| NPI number | 1922216845 |
|---|---|
| LBN Legal business name | Datlof, Philip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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