Drew, Philip T

Drew, Philip T is an sole proprietor health care provider with primary practice located at 79 Paxwood Road , Delmar NY 12054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Drew, Philip T can be contacted via phone (518) 439-8555.

Contact Information

Primary practice address
79 Paxwood Road Delmar NY 12054
Fax: (518) 439-8145
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 150805 New York

Profile Details

NPI number 1104829357
LBN Legal business name Drew, Philip T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2005
Last updated Sep 7th, 2011 - about 13 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 1104829357 NPPES
New York MEDICAID 00722050

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