Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SUSAN LEE PHILLIPS, RD
Active Sole ProprietorPediatric Nutrition · GLEN COVE, NY
Registration Details
- NPI Number
- 1235384223
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 18, 2008 (17.439430217489 yrs)
- Last Updated
- Nov 18, 2008
- License
-
1558-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6 JODI CTGLEN COVE, NY, 115421479Browse NY providers · Browse ZIP 11542
- Phone
- 5166748361
- Fax
- 5166748361
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.