Phillips, Brenda M.

Phillips, Brenda M. is an individual health care provider with primary practice located at 154 Prospect Ave , Plattsburgh NY 12901-1302. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Phillips, Brenda M. can be contacted via phone (518) 563-5440.

Contact Information

Primary practice address
154 Prospect Ave Plattsburgh NY 12901-1302
Phone: (518) 563-5440
Fax: (518) 563-1206
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 185388 New York

Profile Details

NPI number 1780633230
LBN Legal business name Phillips, Brenda M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jan 28th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780633230 NPPES
New York MEDICAID 01243645

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