| NPI | 1316647845 |
|---|---|
| Professional Name | PHILLIP MCDONALD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY 404321) |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2024-02-02 |