Individual
GABRIELLA JADE LORNA PHILLIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
506 LENOX AVE, NEW YORK, NY 10037-1802
(844) 692-4692
Mailing address
506 LENOX AVE, NEW YORK, NY 10037-1802
(212) 939-8036
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
346359
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2023
Last updated
07/21/2026
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