Organization · Type 2 NPI

Phoenix House Foundation, Inc.

Multi-Specialty Clinic/Center · New York, NY

NPI number 1639247653 Active

Practice location

164 W 74th St
New York, NY 10023-2301

Fax (718) 576-2866

Mailing address

50 Jay St, 3RS Fl
Brooklyn, NY 11201-1144

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300X7002298R (NY)

Multi-Specialty Clinic/Center: Definition to come...

6 other providers at this address

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About NPI 1639247653

Phoenix House Foundation, Inc.'s National Provider Identifier is 1639247653, issued on Nov 30, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in New York, NY. The record was last updated on Aug 22, 2020.