Provider Demographics
NPI:1033487822
Name:PHILLIPS-CALENDER, SOPHIA CHERRIL (LPN)
Entity type:Individual
Prefix:MS
First Name:SOPHIA
Middle Name:CHERRIL
Last Name:PHILLIPS-CALENDER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 S EVERETT ST
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-2348
Mailing Address - Country:US
Mailing Address - Phone:347-249-0406
Mailing Address - Fax:
Practice Address - Street 1:6 S EVERETT ST
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-2348
Practice Address - Country:US
Practice Address - Phone:347-249-0406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-07
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY307719164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse