MALICAH CHANTAL PHILLIPS

FOREST HILLS, NY
NPI1811432875
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
Enumeration Date2016-12-30
Last Update Date2016-12-30
Business Address
Ms. MALICAH CHANTAL PHILLIPS
7000 AUSTIN ST STE 200
FOREST HILLS, NY 11375-4739
Phone number: 917-371-6402
Mailing Address
Ms. MALICAH CHANTAL PHILLIPS
3930 59TH ST APT B11
WOODSIDE, NY 11377-3405
Phone number: 917-371-6402