Individual provider · Type 1 NPI

Jerel Antonio Phillips, MD

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1295423200 Active

Practice location

1300 Morris Park Ave., Suite 615A
Bronx, NY 10461-1900

Call (718) 430-2496 Map

Mailing address

2763 Morris Ave, Apt. 702
Bronx, NY 10468

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1295423200

Jerel Antonio Phillips, MD's National Provider Identifier is 1295423200, issued on Apr 27, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Sep 24, 2026.