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NPI Code Detail

MEDICARE: ELIZABETH PHILIP

MEDICARE: ELIZABETH PHILIP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerF341394-1NY

General Provider Information

NPI Number : 1598278160
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH PHILIP
Provider Business Mailing Address
First Line : 372 JERICHO TPKE
Second Line :
City : FLORAL PARK
State : NY
Zip : 11001-2235
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 372 JERICHO TPKE
Second Line :
City : FLORAL PARK
State : NY
Zip : 11001-2235
Country : US
Telephone Number : 866-389-2727
Fax Number : 401-216-3854
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2017
Last Update Date : 04/18/2023

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Directions to “ ELIZABETH PHILIP ” Practice Location

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