Provider Demographics
NPI:1982041406
Name:PHILLIPS, FRANCINE (MED)
Entity Type:Individual
Prefix:
First Name:FRANCINE
Middle Name:
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 KINGSTON AVE
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-3419
Mailing Address - Country:US
Mailing Address - Phone:845-485-7106
Mailing Address - Fax:
Practice Address - Street 1:40 KINGSTON AVE
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603-3419
Practice Address - Country:US
Practice Address - Phone:845-485-7106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-23
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist