Individual
COLLEEN EVADNE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 E 94TH ST, BROOKLYN, NY 11236-4803
(718) 257-4448
Mailing address
1405 E 94TH ST, BROOKLYN, NY 11236-4803
(718) 257-4448
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
396303
NY
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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