National Provider Identifier Database

PHILIPPE VAILLANCOURT, MD – NPI #1801861976
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

PHILIPPE VAILLANCOURT, MD
712 MAIN ST
ISLIP, NY11751-3620
Phone: 631-666-3939
Fax: 631-666-3994
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X
Pain Medicine 208VP0000X

* Indicates primary specialty

NPI Profile & details for PHILIPPE VAILLANCOURT

NPI Number 1801861976
Credentials MD
Entity Individual
Enumeration date 02/21/2006
Last updated 06/09/2016 - About 10 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 139436
  • NY Medicaid: 00976572
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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