Provider Demographics
NPI:1952562951
Name:PHILLIP, PATRINA NATASHA (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRINA
Middle Name:NATASHA
Last Name:PHILLIP
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1326 SAINT JOHNS PL APT 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-3727
Mailing Address - Country:US
Mailing Address - Phone:917-698-9923
Mailing Address - Fax:718-579-4699
Practice Address - Street 1:234 E 149TH ST
Practice Address - Street 2:RM 5-18
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-5504
Practice Address - Country:US
Practice Address - Phone:718-579-5830
Practice Address - Fax:718-579-4699
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY247457207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology