Randall Phillips, M.D.
Diagnostic Radiology · Lake Grove, NY
UnclaimedM.D.NPI 1154304962
- Primary taxonomy
- 2085R0202X
- Enumerated
- 2005-11-25
- Practice location
- Lake Grove, NY
- Last NPPES update
- 2017-12-04
State licenses
- NY · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.