Individual
MS. PHELAN ANTONIA CLANCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.N.P
Contact information
Practice address
2336 GRAND CONCOURSE, BRONX, NY 10458-6903
(718) 220-0439
(718) 933-2914
Mailing address
145 W MONTAUK HWY, HAMPTON BAYS, NY 11946-4012
(718) 220-0439
(718) 933-2914
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
6573601
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
306844-1
NY
Other
Enumeration date
03/13/2013
Last updated
10/30/2019
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