Organization · Type 2 NPI
Eileen Phoenix
Health Service Clinic/Center · Staten Island, NY
NPI number
1205335205
Active
Practice location
134 Clarke Ave
Staten Island, NY 10306-1112
Fax (718) 667-5365
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1205335205
Eileen Phoenix's National Provider Identifier is 1205335205, issued on Feb 5, 2018. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Staten Island, NY. The record was last updated on Feb 5, 2018.