Provider Demographics
NPI:1457841967
Name:PHILLIP FYMAN AND ALEXANDER WEINGARTEN MD PC
Entity Type:Organization
Organization Name:PHILLIP FYMAN AND ALEXANDER WEINGARTEN MD PC
Other - Org Name:ACCUTOX MEDICAL DIAGNOSTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:N
Authorized Official - Last Name:FYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-496-4964
Mailing Address - Street 1:121 EILEEN WAY
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-5302
Mailing Address - Country:US
Mailing Address - Phone:516-496-4964
Mailing Address - Fax:
Practice Address - Street 1:121 EILEEN WAY
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791
Practice Address - Country:US
Practice Address - Phone:516-496-4964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHILLIP FYMAN AND ALEXANDER WEINGARTEN MD PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-05-10
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical LaboratoryGroup - Single Specialty