Individual provider · Type 1 NPI

Phyllis Jean Pass, NP

Adult Health Nurse Practitioner · New York, NY

NPI number 1114125507 Active

Practice location

100 E 77th St
New York, NY 10021-1850

Mailing address

103 School St
Piscataway, NJ 08854-5920

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XF304255-1 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1114125507

Phyllis Jean Pass, NP's National Provider Identifier is 1114125507, issued on Jul 6, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.