Individual
PHYLLIS LYNN FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
622 W 168TH ST, PH 1564W, NEW YORK, NY 10032
(212) 305-7399
Mailing address
622 W 168TH ST, PH 1564W, NEW YORK, NY 10032-3720
(212) 305-7399
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
187131
NY
207ZP0101X
Anatomic Pathology Physician
Primary
187131-1
NY
Other
Enumeration date
03/02/2007
Last updated
08/03/2018
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