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Individual

MS. ANTOINETTE ANITA PHYNN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4741
(718) 920-5029
Mailing address
22 LOSCERBO LN, NEWBURGH, NY 12550-1059
(845) 784-4234

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
061679
NY

Other

Enumeration date
07/19/2007
Last updated
07/19/2007
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