Daisy M Phillips | Bronx, NY • PECOS Search

Daisy M Phillips

Registered Nurse

Nursing Service Providers

2953 Bruner Ave, Bronx, NY 10469-3313

(718) 671-0680 (718) 655-2472

PECOS Enrollment

Based on the most recent information from CMS, provider Daisy M Phillips does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 7 days ago.

Profile Details

Provider ID
1073814117
Provider Type
Individual
Full Name
Phillips, Daisy M
Title
Ms.
Credential
RN

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/5/2010
Last Updated
11/5/2010

Contact Information

Practice Location

2953 Bruner Ave, Bronx, NY 10469-3313

Unlisted Fax

Mailing Location

1047 E 222nd St, Bronx, NY 10469-1214

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 163W00000X Primary	Description Registered Nurse Nursing Service Providers	License 617928-1 New York