Individual
BETH M PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5898 BRIDGE ST, EAST SYRACUSE, NY 13057-2941
(315) 663-0112
Mailing address
5898 BRIDGE ST, EAST SYRACUSE, NY 13057-2941
(315) 663-0112
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
004291-1
NY
Other
Enumeration date
11/15/2006
Last updated
06/23/2020
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