Remillard, Philip A

Remillard, Philip A is an sole proprietor health care provider with primary practice located at 6700 Kirkville Rd Suite A, East Syracuse NY 13057-9305. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Remillard, Philip A can be contacted via phone (315) 463-2013.

Contact Information

Primary practice address
6700 Kirkville Rd Suite A East Syracuse NY 13057-9305
Phone: (315) 463-2013
Fax: (315) 463-2019
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 191732
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 191732 New York

Profile Details

NPI number 1982768164
LBN Legal business name Remillard, Philip A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2006
Last updated Mar 26th, 2021 - about 3 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 1982768164 NPPES
New York MEDICAID 01603869

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