Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEDAN PHILLIPS, M.D.
Active Sole ProprietorDR. JEDAN PHILLIPS, M.D. is a Family Medicine healthcare provider located in EAST SETAUKET, New York. NPI 1659317956 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · EAST SETAUKET, NY
Registration Details
- NPI Number
- 1659317956
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2006 (20.178947261876 yrs)
- Last Updated
- Jul 8, 2007
- License
-
226998 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
181 N BELLE MEAD RDEAST SETAUKET, NY, 117333495Browse NY providers · Browse ZIP 11733
- Phone
- 1111111111
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in EAST SETAUKET, NY
| Name | Credential | NPI |
|---|---|---|
| DR. JEFFREY TRILLING | M.D. | 1396787768 |
| DR. HOWARD SUSSMAN | M.D. | 1497799571 |
| DR. VIVICA VOLLMER | M.D. | 1073558995 |
| DR. GWENDOLYN STRETCH | M.D. | 1831134220 |
| DR. GERALD KELLY | D.O. | 1659308492 |
| DR. KATHERINE WIGHTMAN | M.D. | 1467489880 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.