Individual
MRS. VINEETHA PHILIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 OLD ORANGEBURG RD, ORANGEBURG, NY 10962-1157
(845) 596-1851
Mailing address
106 GREEN RD, WEST NYACK, NY 10994-2638
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
666841
NY
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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