Individual
MISS CARLA DENISE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1225 GERARD AVE, PEDIATRICS/ SCHOOL HEALTH PROGRAM, BRONX, NY 10452-8001
(718) 960-2777
Mailing address
303 N BROOKSIDE AVE, FREEPORT, NY 11520-1305
(516) 554-0024
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
337617
NY
Other
Enumeration date
07/24/2013
Last updated
03/29/2017
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