Individual
BRENDA M. PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
154 PROSPECT AVE, PLATTSBURGH, NY 12901-1302
(518) 563-5440
(518) 563-1206
Mailing address
154 PROSPECT AVE, PLATTSBURGH, NY 12901-1302
(518) 563-5440
(518) 563-1206
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
185388
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01243645
—
NY
Enumeration date
05/10/2006
Last updated
01/28/2015
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