Ondocin, Philip T

Ondocin, Philip T is an individual health care provider with primary practice located at 1304 Buckley Rd , Syracuse NY 13212-4302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Ondocin, Philip T can be contacted via phone (315) 478-3311.

Contact Information

Primary practice address
1304 Buckley Rd Syracuse NY 13212-4302
Fax: (315) 426-0796
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 209513 New York

Profile Details

NPI number 1902888506
LBN Legal business name Ondocin, Philip T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Apr 11th, 2012 - 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 1902888506 NPPES
New York MEDICAID 02228839
New York Other 000136409

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