Provider Demographics
NPI:1932295052
Name:FLORIO, PHILIP LAWRENCE (MD)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:LAWRENCE
Last Name:FLORIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 WESTCHESTER AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:PURCHASE
Mailing Address - State:NY
Mailing Address - Zip Code:10577-2547
Mailing Address - Country:US
Mailing Address - Phone:914-607-5730
Mailing Address - Fax:914-963-0517
Practice Address - Street 1:1084 N BROADWAY
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1107
Practice Address - Country:US
Practice Address - Phone:914-848-8640
Practice Address - Fax:914-848-8641
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY134449207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000000037670OtherGHI HMO MEDICAID
NY0515355OtherAETNA HMO
NY1000017417OtherAFFINITY
NY344632OtherEMPIRE BC YONKERS AVE
NY0201121OtherGHI PPO
NY10695OtherHUDSON HEALTH PLAN
NY134449OtherHIP
NY160043548OtherRAILROAD MEDICARE
NY4300477OtherAETNA PPO
NY00539193Medicaid
NY1C4684OtherHEALTHNET
NY344631OtherEMPIRE BC BROADWAY
NYWP522OtherOXFORD
NY34463X0371Medicare PIN
NYC08863Medicare UPIN