ANNAMMA PHILIP RN
NPI 1134636194
Registered Nurse - Psychiatric/Mental Health in Staten Island, NY
Active since December 29, 2017
777 SEAVIW AVENUE, STATEN ISLAND, NY 10305(718) 667-2600(718) 667-2613 Get Directions Write a Review
About Annamma Philip Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNAMMA PHILIP RN (NPI 1134636194) is an individual psychiatric/mental health provider in Staten Island, New York, licensed in New York (561302) and active in the NPI registry since December 2017.
NPPES Registry Identity
NPI1134636194
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameANNAMMA PHILIPCredential: RN
Location Address777 SEAVIW AVENUEStaten Island, NY 10305-3409
Mailing Address777 Seaviw AvenueStaten Island, NY 10305-3409 · (718) 667-2600 · Fax (718) 667-2613
Phone(718) 667-2600
Fax(718) 667-2613
Sole ProprietorYes
Enumeration DateDecember 29, 2017
✔ NPI 1134636194 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in NY · 561302
777 SEAVIW AVENUE, Staten Island, NY 10305
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134636194, enumerated as an "individual" on December 29, 2017.
The provider is located at 777 SEAVIW AVENUE STATEN ISLAND, NY 10305 and the phone number is (718) 667-2600.
Registered Nurse with taxonomy code 163WP0808X and a focus in Psychiatric/Mental Health.