PHILIP DISALVO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

Title

First Name

PHILIP

Last Name

DISALVO

Business Name

PHILIP DISALVO MD

Original Issue Date

06/07/2021

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

NEW YORK

State

Zip

10016

County

NEW YORK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/28/2023