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Breanne Marie Phillips, PA-C
Medical Physician Assistant in Middletown, New York
NPI 1144418054

Breanne Marie Phillips is a Medical Physician Assistant based in Middletown, NY and is specialized in Medical. Breanne Marie Phillips practices in Middletown, NY and has the professional credentials of PA-C. The NPI Number for Breanne Marie Phillips is 1144418054 and holds a License No. MA053102 (New York).

The current practice location address for Breanne Marie Phillips is 111 Maltese Dr, Middletown, NY and can be reached out via phone at 845-342-4774.

Location: 111 Maltese Dr, Middletown, NY, 10940-2141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144418054
Provider Name
Breanne Marie Phillips
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
111 Maltese Dr, Middletown, NY, 10940-2141
Phone Number
845-342-4774
Fax Number
Provider Enumeration Date
10/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
028248 01 NY LICENSE
institution
Provider Business Practice Location Address Details
Address
111 Maltese Dr
City
Middletown
State
New York
Zip
10940-2141
Phone Number
845-342-4774
Fax Number
person
Provider Business Mailing Address Details
Address
111 Maltese Dr
City
Middletown
State
New York
Zip
10940-2141
Phone Number
845-342-4774
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
MA053102 (Pennsylvania)
Definition
Definition to come...
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