Provider Demographics
NPI:1063064632
Name:PILIP MEDICAL CARE
Entity type:Organization
Organization Name:PILIP MEDICAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NONE
Authorized Official - Prefix:
Authorized Official - First Name:ADALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:PILIP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-656-9040
Mailing Address - Street 1:732 SMITHTOWN BYPASS
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787
Mailing Address - Country:US
Mailing Address - Phone:631-656-9040
Mailing Address - Fax:631-656-9030
Practice Address - Street 1:1690 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:BOHEMIA
Practice Address - State:NY
Practice Address - Zip Code:11716
Practice Address - Country:US
Practice Address - Phone:631-656-9040
Practice Address - Fax:631-656-9040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-12
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty