Individual
DR. GABRIELLE PHILLIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-4700
Mailing address
1465 MAPLE AVE, HILLSIDE, NJ 07205-1548
(917) 226-0743
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
300275
NY
208000000X
Pediatrics Physician
21419
ND
Other
Enumeration date
05/18/2016
Last updated
10/30/2024
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