National Provider Identifier
Dylan Phillips, MD
Dylan Phillips, MD is listed in the NPPES registry with a primary specialty of Pain Medicine Physician in Canandaigua, NY and a listed phone number of (585) 218-0072.
Profile Overview
- NPI
- 1093162265
- Provider Type
- Individual
- Primary Specialty
- Pain Medicine Physician
- Enumeration Date
- May 18, 2016
- Last Updated
- July 22, 2021
Practice Location
- 468 S Pearl St Ste C
- Canandaigua, NY 14424-1798
Phone: (585) 218-0072
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Pain Medicine Physician (208VP0000X)
- Pain Medicine (Anesthesiology) Physician (207LP2900X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1093162265
- Entity Type
- Individual
- Last Name
- Phillips
- First Name
- Dylan
- Credential
- MD
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 922-4111
- Mailing Fax
- (585) 922-5941
- Practice Street Address
- 468 S Pearl St Ste C
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1798
- Practice Country
- US
- Practice Phone
- (585) 218-0072
- Practice Fax
- (585) 218-0975
- Enumeration Date
- May 18, 2016
- Last Updated
- July 22, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 22, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pain Medicine Physician (208VP0000X), Pain Medicine (Anesthesiology) Physician (207LP2900X), Student in an Organized Health Care Education/Training Program (390200000X)