PROF. Chaniqua Cassandra Phillips, MSED
NPI #1275941593 in Kew Gardens Hills, New York
Provider Information
- NPI Number
- 1275941593
- Entity Type
- Individual
- Name
- PROF. Chaniqua Cassandra Phillips, MSED
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- MSED
- Enumeration Date
- Jul 30, 2014
- Last Updated
- Jul 30, 2014
Practice Location
- Address
- 14750 72ND DR APT 1A
- State
- New York
- ZIP Code
- 11367-2536
- Phone
- (347) 737-6795
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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