Individual
PHYLLIS MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3009 BROADWAY, BARNARD HEALTH SERVICE, NEW YORK, NY 10027-6905
(212) 854-2091
(212) 854-2702
Mailing address
588 HENRY ST, BROOKLYN, NY 11231-2727
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F3301551
NY
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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