Individual
PROF. CHANIQUA CASSANDRA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
14750 72ND DR APT 1A, KEW GARDENS HILLS, NY 11367-2536
(347) 737-6795
Mailing address
14750 72ND DR APT 1A, KEW GARDENS HILLS, NY 11367-2536
(347) 737-6795
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1865108
NY
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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