Dr PHILIPPE VAILLANCOURT MD is a male medical professional, specializing in Neurology. He graduated in 1978.
SOUTH SHORE NEUROLOGIC ASSOC PC
77 MEDFORD AVE
PATCHOGUE
NY
117721281
Tel: 6316545555
| Npi | 1801861976 |
| Pac Id | 5698730554 |
| Professional Enrollment Id | I20041119001035 |
| Last Name | VAILLANCOURT |
| First Name | PHILIPPE |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1978 |
| Primary Specialty | NEUROLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | SOUTH SHORE NEUROLOGIC ASSOC PC |
| Group Practice Pac Id | 5092602110 |
| Number Of Group Practice Members | 32 |
| Line 1 Street Address | 77 MEDFORD AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 117721281 |
| Phone Number | 6316545555 |
| Hospital Affiliation Ccn 1 | 330107 |
| Hospital Affiliation Lbn 1 | PECONIC BAY MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 330088 |
| Hospital Affiliation Lbn 2 | EASTERN LONG ISLAND HOSPITAL |
| Hospital Affiliation Ccn 3 | 330393 |
| Hospital Affiliation Lbn 3 | SUNY/STONY BROOK UNIVERSITY HOSPITAL |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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