Provider Demographics
NPI:1083884860
Name:PHILLIPS-STONE, PHILLIPPA (LPN)
Entity Type:Individual
Prefix:MS
First Name:PHILLIPPA
Middle Name:
Last Name:PHILLIPS-STONE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 CASALS PL
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-3002
Mailing Address - Country:US
Mailing Address - Phone:718-379-4001
Mailing Address - Fax:
Practice Address - Street 1:100 CASALS PL
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-3002
Practice Address - Country:US
Practice Address - Phone:718-379-4001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-07
Last Update Date:2010-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY142289-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse