Provider Demographics
NPI:1528074648
Name:STRENGER, PHILIP JACK (MD)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:JACK
Last Name:STRENGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 COLLEGE RD
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-2861
Mailing Address - Country:US
Mailing Address - Phone:845-352-7546
Mailing Address - Fax:845-352-3493
Practice Address - Street 1:29 COLLEGE RD
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952
Practice Address - Country:US
Practice Address - Phone:845-352-7546
Practice Address - Fax:845-352-3493
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2018-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY160884207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00880002Medicaid
NY38D641Medicare ID - Type Unspecified
NYA62587Medicare UPIN