Most Relevant Information
Provider Data
| NPI Number: | 1003407560 |
| Provider Name: | CHELSEA PHILLIPS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/28/2021 |
| Last Updated: | 01/28/2021 |
Provider Practice Location
800 NORTHERN BLVD
GREAT NECK
NY
110215340
Practice Location Phone/Fax
| Phone: | 5168299666 |
| Fax: |
Provider Mailing Location
14202 20TH AVE
FLUSHING
NY
113513000
Provider Mailing Phone/Fax
| Phone: | 3475425615 |
| Fax: |