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Dr. Randall Phillips, MD
Diagnostic Radiology Physician in Lake Grove, New York
NPI 1154304962

Randall Phillips is a Diagnostic Radiology Physician based in Lake Grove, NY and is specialized in Diagnostic Radiology. Randall Phillips practices in Lake Grove, NY and has the professional credentials of MD. The NPI Number for Randall Phillips is 1154304962 and holds a License No. 146974 (New York).

The current practice location address for Randall Phillips is 2780 Middle Country Rd Ste 210, Lake Grove, NY and can be reached out via phone at 631-588-4500 and via fax at 631-588-4595.

Location: 2780 Middle Country Rd Ste 210, Lake Grove, NY, 11755-2120
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154304962
Provider Name
Randall Phillips
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2780 Middle Country Rd Ste 210, Lake Grove, NY, 11755-2120
Phone Number
631-588-4500
Fax Number
631-588-4595
Provider Enumeration Date
11/25/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2780 Middle Country Rd Ste 210
City
Lake Grove
State
New York
Zip
11755-2120
Phone Number
631-588-4500
Fax Number
631-588-4595
person
Provider Business Mailing Address Details
Address
2780 Middle Country Rd Ste 210
City
Lake Grove
State
New York
Zip
11755-2120
Phone Number
631-588-4500
Fax Number
631-588-4595
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
146974 (New York)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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