Individual
DR. CHARLOTTE SUE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
335 CENTRAL AVE, BROOKLYN, NY 11221-4501
(718) 573-4860
Mailing address
18 WYCKOFF ST, BROOKLYN, NY 11201-6306
(718) 624-5828
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
103182
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10318201
—
NY
Enumeration date
10/31/2006
Last updated
07/08/2007
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