MS. SIMONE T PHILLIPS


Address: 180 Livingston Street, Suite 304, Brooklyn, NY 11201
Phone: 9174857426

MS. SIMONE T PHILLIPS (NPI# 1689808958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689808958
Entity Type Individual
Full Name MS. SIMONE T PHILLIPS
Credential PNP
Practice Address 180 Livingston Street
Suite 304
Brooklyn
NY 11201
Mailing Address 180 Livingston Street, Suite 304
Brooklyn
NY 11201-5861
Practice Telephone 9174857426
Practice Fax Number 7182370224
Mailing Telephone 9174857426
Mailing Fax Number 7182370224
Enumeration Date 2009-05-14
Last Update Date 2015-04-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
F381148-1 NY Physician Assistants & Advanced Practice Nursing Providers

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1669889242 Simone Phillips Counselor 367 Pine St, Springfield, MA 01105-1930 2014-07-16
1770820425 Simone N Phillips Licensed Practical Nurse 801 Amsterdam Ave, New York, New York, NY 10025-5752 2013-01-14

Office Location

Street Address 180 LIVINGSTON STREET,
SUITE 304
City BROOKLYN
State NY
Zip Code 11201

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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

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1437763877 Tiffany Yu Nurse Practitioner 1746 W 12th St, Brooklyn, NY 11223-1101 2020-09-02
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1831641893 Hillary Elise Fairbanks Nurse Practitioner 774 Saratoga Ave, Brooklyn, NY 11212-4439 2016-10-25
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1972888618 Betty P.l. Celestin Nurse Practitioner 15 Metrotech Center 11th Floor, Empire State Home Care Services Inc C/o Bridget O'conne, Brooklyn, NY 11201 2011-10-13
1184930406 Claudia Senatore Nurse Practitioner 825 4th Ave Rm 254, Brooklyn, NY 11232-1701 2010-08-24
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Competitor

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City BROOKLYN
Zip Code 11201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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