Most Relevant Information
Provider Data
| NPI Number: | 1003442948 |
| Provider Name: | GREGORY SCOTT PHILLIPS MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/22/2020 |
| Last Updated: | 06/25/2024 |
Provider Practice Location
450 CLARKSON AVE
BOX 46, DEPARTMENT OF DERMATOLOGY, 8TH FLOOR
BROOKLYN
NY
11203
Practice Location Phone/Fax
| Phone: | 7182701229 |
| Fax: |
Provider Mailing Location
450 CLARKSON AVE
BOX 46, DEPARTMENT OF DERMATOLOGY, 8TH FLOOR
BROOKLYN
NY
112034976
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |