Individual
MRS. LAURA J PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
280 REGIS DR, STATEN ISLAND, NY 10314-1427
(718) 697-3121
(718) 697-3160
Mailing address
280 REGIS DR, STATEN ISLAND, NY 10314-1427
(718) 697-3121
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
513095-1
NY
Other
Enumeration date
03/27/2012
Last updated
06/22/2012
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