Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 208573 | NY |
NPI | 1033224993 |
---|---|
Provider Name | Dr. Philip Lloyd Schrank |
First Address | Bohemia, NY 11716-1068 |
Second Address | Bohemia, NY 11716-1068 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 07/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H21170 | (02) | NY |