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Individual

PHYLLIS EMMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
348 13TH ST, BROOKLYN, NY 11215-5004
(718) 788-2461
Mailing address
22 IRIS CT, STATEN ISLAND, NY 10309-4346

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F400952-1
NY

Other

Enumeration date
02/08/2007
Last updated
05/17/2026
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