Individual provider · Type 1 NPI

Phoenix Padmore

Student in an Organized Health Care Education/Training Program · Brooklyn, NY

NPI number 1124810098 Active

Practice location

921 E New York Ave
Brooklyn, NY 11203-1393

Call (718) 778-0485 Map

Mailing address

2184 Fulton St Apt 4A
Brooklyn, NY 11233-3362

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124810098

Phoenix Padmore's National Provider Identifier is 1124810098, issued on May 19, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on Sep 4, 2025.