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Petronella Phillips

NPI 1265387971 · on the registry since 2026 · sole proprietor

Practice

Address
3280 Broadway Rm 629
New York, NY 10027
Phone
(917) 545-7004

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-02-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York