Individual
PHILLIP BRUCE MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
80 5TH AVE OFC 903-10, NEW YORK, NY 10011-8002
(347) 886-1088
Mailing address
80 5TH AVE OFC 903-10, NEW YORK, NY 10011-8002
(347) 886-1088
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404321
NY
Other
Enumeration date
03/03/2023
Last updated
02/02/2024
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