Individual provider · Type 1 NPI

Blake Andrew Phillips, MD

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

NPI number 1942526090 Active

Practice location

1 Park Ave, 7th Floor
New York, NY 10016-5802

Call (501) 538-7333 Map

Mailing address

257 Gold St, Apartment 504
Brooklyn, NY 11201-2034

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 1942526090

Blake Andrew Phillips, MD's National Provider Identifier is 1942526090, issued on Apr 14, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Jun 21, 2013.