PHILIP DISALVO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156868

License Status

ACTIVE

Business

Title

First Name

PHILIP

Last Name

DISALVO

Business Name

PHILIP DISALVO MD

Original Issue Date

05/07/2021

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

NEW YORK

State

Zip

10029

County

NEW YORK

Ever Disciplined

LastModifiedDate

04/28/2023