NPI 1417716101

Theresa Lugo-Phillip

Practitioner Case Manager/Care Coordinator Woodhaven, NY

Practice location

Address: 8549 80th St, Woodhaven, NY 11421-1123
Phone: (347) 206-0103
Fax: (347) 549-4593

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1417716101
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Mar 2024
Record last updated: 15 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.