Vidia Phillip

NPI 1669860391 - Specialist - 174400000X

NPI Details
NPI 1669860391
Gender Female
Enumeration Date 01/05/2015
Last Updated 01/05/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
870 SAINT JOHNS PL
4
BROOKLYN NY, 11216-4664, US
Phone (646) 765-5567
Fax
Business Location
870 SAINT JOHNS PL
4
BROOKLYN NY, 11216-4664, US
Phone
Fax
Toxanomy
Taxonomy Code 174400000X
License State New York
License Number 656568
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According to our database, Vidia Phillip NPI is 1669860391, taxonomy code is 174400000X and license number is 656568, license state is located at New York. Vidia Phillip physically located at 870 Saint Johns Pl, Brooklyn NY, 11216-4664. NPI Number Vidia Phillip has the Individual type.

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1669860391 NPI number is provided on an as is basis without warranty of any kind. 1669860391 is maintained by the National Plan & Provider Enumeration System. The contents of Vidia Phillip are for informational purposes only.