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MR. GREGORY ALFRED ST. PHILLIPS LPN
NPI 1194021212
Licensed Practical Nurse in Syracuse, NY

Active since February 07, 2011
1964 CALEB AVE, SYRACUSE, NY 13206(315) 433-1255 Get Directions Write a Review

NPPES record last updated: February 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Gregory Alfred St. Phillips Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GREGORY ALFRED ST. PHILLIPS LPN (NPI 1194021212) is an individual licensed practical nurse in Syracuse, New York, licensed in New York (293594-1) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1194021212
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMR. GREGORY ALFRED ST. PHILLIPSCredential: LPN
Location Address1964 CALEB AVESyracuse, NY 13206-2519
Mailing Address1964 Caleb AveSyracuse, NY 13206-2519 · (315) 433-1255
Phone(315) 433-1255
Sole ProprietorYes
Enumeration DateFebruary 7, 2011
✔ NPI 1194021212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 293594-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1964 CALEB AVE, Syracuse, NY 13206
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory St. Phillips's NPI number?

The NPI number for Gregory St. Phillips is 1194021212. It was assigned to this individual provider in the NPPES registry on February 7, 2011.

Where is Gregory St. Phillips located?

Gregory St. Phillips practices at 1964 Caleb Ave, Syracuse, NY 13206. The listed phone number is (315) 433-1255.

What is Gregory St. Phillips's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Gregory St. Phillips was last updated on February 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.