Organization
DEPARTMENT OF HEALTH
Active
Other names
City of New York
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARCIA MARIE PHILLIPS RN (STAFF NURSE)
(914) 664-1478
Entity
Organization
Contact information
Practice address
111 N TERRACE AVE, 2ND FLOOR, MOUNT VERNON, NY 10550-1808
(914) 664-1478
(914) 664-1478
Mailing address
111 N TERRACE AVE, 2ND FLOOR, MOUNT VERNON, NY 10550-1808
(914) 664-1478
(914) 664-1478
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
484334
NY
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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