Individual
STACY-ANN PHILLIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
234 E 149TH ST # 6B, BRONX, NY 10451-5504
(917) 200-8710
Mailing address
950 49TH ST APT 6B, BROOKLYN, NY 11219-2949
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
295192
NY
Other
Enumeration date
06/15/2015
Last updated
04/25/2023
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