Individual
CHRISTINA DEPHILIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4143 RICHMOND AVE, STATEN ISLAND, NY 10312-5637
(718) 966-5556
Mailing address
11 HEMLOCK ST, STATEN ISLAND, NY 10309-4288
(917) 710-1352
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
340369
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340369
—
NY
Enumeration date
02/25/2016
Last updated
02/20/2017
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