Randall Phillips
Medical Specialty
Professional ID
- NPI: 1154304962
- PECOS ID: 8628960226
- Enrollment ID: I20040329000173
- Credential(MD, DO, DPM): MD
- Medical School: Hahnemann University College Of Medicine
- Medical School Graduation Year: 1978
Medical Practices
- Organization Name: Mid-island Medical Imaging, P.c.
- Group Practice ID assigned by PECOS: 2769373240
- Number of Group Practice member: 4
Location
- Address1: 1643 Route 112
- Address2: C
- City: Medford
- State: New York
- Zip Code: 11763
- Phone Number: (631)758-1800
Location
- Address1: 20 W John St
- Address2:
- City: Lindenhurst
- State: New York
- Zip Code: 11757
- Phone Number: (631)226-2230
Medical Practices
- Organization Name: Suffolk Breast Imaging, P.c.
- Group Practice ID assigned by PECOS: 4284628223
- Number of Group Practice member: 5
Location
- Address1: 2780 Middle Country Rd
- Address2: Suite 210
- City: Lake Grove
- State: New York
- Zip Code: 11755
- Phone Number: (631)588-4500
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):