PHYLLIS EMMA

BROOKLYN, NY
NPI1598805319
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  F400952-1)
Enumeration Date2007-02-08
Last Update Date2007-07-08
Business Address
-- PHYLLIS EMMA
348 13TH ST
BROOKLYN, NY 11215-5004
Phone number: 718-788-2461
Mailing Address
-- PHYLLIS EMMA
22 IRIS CT
STATEN ISLAND, NY 10309-4346
Phone number: