Provider Demographics
NPI:1689202525
Name:CONKLING, PHILIP ROBERT (MD)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:ROBERT
Last Name:CONKLING
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1220 NEW SCOTLAND RD STE 201
Mailing Address - Street 2:
Mailing Address - City:SLINGERLANDS
Mailing Address - State:NY
Mailing Address - Zip Code:12159-9386
Mailing Address - Country:US
Mailing Address - Phone:518-533-6550
Mailing Address - Fax:518-533-6556
Practice Address - Street 1:1220 NEW SCOTLAND RD STE 201
Practice Address - Street 2:
Practice Address - City:SLINGERLANDS
Practice Address - State:NY
Practice Address - Zip Code:12159-9386
Practice Address - Country:US
Practice Address - Phone:518-533-6550
Practice Address - Fax:518-533-6556
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-27
Last Update Date:2024-07-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY328190207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist