Warner-Phillips, Trudy Marie-Viola

Warner-Phillips, Trudy Marie-Viola is an individual health care provider with primary practice located at 161 Carey Rd , Queensbury NY 12804-7821. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Warner-Phillips, Trudy Marie-Viola can be contacted via phone (518) 824-8610.

Contact Information

Primary practice address
161 Carey Rd Queensbury NY 12804-7821
Phone: (518) 824-8610
Fax: (518) 824-2390
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F402376 New York

Profile Details

NPI number 1487101101
LBN Legal business name Warner-Phillips, Trudy Marie-Viola
Credentials NPP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2016
Last updated Apr 4th, 2024 - about last year

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 1487101101 NPPES
New York MEDICAID 05197719

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