Phillies Daitey
Phillies Daitey is a Nurse Practitioner in New York, New York. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in New York.
- Years since qualifying
- 2
- Licensed in
- NY
- In the registry since
- 2025
Practice location Address checks out
1 Gustave L Levy Pl Fl 12New York, NY 10029-6574
Phone: (347) 741-0170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence F406073-01 (NY) |
|---|
Record details
| NPI number | 1659258028 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 18, 2025 |
| Last updated in NPPES | August 18, 2025 |
| Certification date | August 18, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 3 on file with Medicare |
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