| Doctor Name: | GERALDA JEAN-PHILIPPE |
| NPI Number: | 1093110025 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | F307114-1 |
| Business Practice Address: | 25302 147th Ave Rosedale, NY - 114222541 |
| Business Phone Number: | 7183413535 |
| Business Fax Number: | |
| Mailing Address: | 14710 84th Rd, Apt 5n JAMAICA |
| State: | NY |
| Postal Code: | 114352242 |
| Phone Number: | 9176538017 |
| Fax Number: | |
| NPI Enumeration Date: | 11/04/2014 |
| NPI Last Update Date: | 11/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | F307114-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |