Individual
MS. JOANNE MADELINE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
475 SEAVIEW AVE, DEPARTMENT OF PEDIATRICS, STATEN ISLAND, NY 10305-3436
(718) 226-9360
Mailing address
475 SEAVIEW AVE, DEPARTMENT OF PEDIATRICS, STATEN ISLAND, NY 10305-3436
(718) 226-9360
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F3819741
NY
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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