Phillip, Dennis-Roger

Phillip, Dennis-Roger is an individual health care provider with primary practice located at 270 Park Ave , Huntington NY 11743-2787. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Phillip, Dennis-Roger can be contacted via phone (631) 547-6392.

Contact Information

Primary practice address
270 Park Ave Huntington NY 11743-2787
Phone: (631) 547-6392
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 232970 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X 232970 New York

Profile Details

NPI number 1477512655
LBN Legal business name Phillip, Dennis-Roger
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Dec 2nd, 2021 - about 4 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 1477512655 NPPES
New York MEDICAID 02581877

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