Individual
ASHA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 PORT WASHINGTON BLVD, ROSLYN, NY 11576-1347
(516) 562-6000
Mailing address
1955 SMITH ST, MERRICK, NY 11566-3438
(516) 302-6502
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F308360-1
NY
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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