Provider Demographics
NPI:1417129792
Name:PHILLIBERT, DONALD CLIFTON JR (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:CLIFTON
Last Name:PHILLIBERT
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1400 PELHAM PARKWAY SOUTH BS 32
Mailing Address - Street 2:JACOBI MEDICAL CENTER
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461
Mailing Address - Country:US
Mailing Address - Phone:718-918-3060
Mailing Address - Fax:
Practice Address - Street 1:1400 PELHAM PKWY S
Practice Address - Street 2:BS 32
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1138
Practice Address - Country:US
Practice Address - Phone:215-762-3600
Practice Address - Fax:215-762-4323
Is Sole Proprietor?:No
Enumeration Date:2008-03-27
Last Update Date:2013-09-20
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Provider Licenses
StateLicense IDTaxonomies
NY262587207V00000X
PAMD443654207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology