Provider Demographics
NPI:1689768996
Name:PHILLIPS, ARNOLD M (MD)
Entity Type:Individual
Prefix:
First Name:ARNOLD
Middle Name:M
Last Name:PHILLIPS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:110 EAST 55TH STREET
Mailing Address - Street 2:17TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022
Mailing Address - Country:US
Mailing Address - Phone:212-355-8248
Mailing Address - Fax:212-355-4244
Practice Address - Street 1:110 EAST 55TH STREET
Practice Address - Street 2:17TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-8404
Practice Address - Country:US
Practice Address - Phone:212-355-8248
Practice Address - Fax:212-355-4244
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY139282207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine