| NPI | 1497917983 |
|---|---|
| Other Name | PHELPS MEDICAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | CHARLES RYKE Director Of Professional Billing 914-269-1763 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 155904-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 093343-1) |
| 207RN0300X Internal Medicine, Nephrology (Licence: NY 106477) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 135197-1) | |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2012-07-20 |