Individual
PHILL PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6610 THORNTON PL APT 4L, REGO PARK, NY 11374-5114
(347) 255-3380
Mailing address
6610 THORNTON PL APT 4L, REGO PARK, NY 11374-5114
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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