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1154304962
RANDALL PHILLIPS
LAKE GROVE, NY
NPI
1154304962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: NY 146974)
Enumeration Date
2005-11-25
Last Update Date
2017-12-04
Business Address
Dr. RANDALL PHILLIPS M.D.
2780 MIDDLE COUNTRY RD STE 210
LAKE GROVE, NY 11755-2120
Phone number: 631-588-4500
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Mailing Address
Dr. RANDALL PHILLIPS M.D.
2780 MIDDLE COUNTRY RD STE 210
LAKE GROVE, NY 11755-2120
Phone number: 631-588-4500
Copy
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