Individual
PHILLIP-ANDREW PETITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
220 E 54TH ST APT 11H, NEW YORK, NY 10022-4852
(914) 760-3549
Mailing address
220 E 54TH ST APT 11H, NEW YORK, NY 10022-4852
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
721520
NY
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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