Organization · Type 2 NPI
Phanod LLC
Health Service Clinic/Center · Jackson Heights, NY
NPI number
1700486800
Active
Practice location
8407 Roosevelt Ave
Jackson Heights, NY 11372-7340
Fax (718) 651-2034
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
2 other providers at this address
Other health service clinic/center providers in Jackson Heights
About NPI 1700486800
Phanod LLC's National Provider Identifier is 1700486800, issued on Oct 28, 2020. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Jackson Heights, NY. The record was last updated on Nov 3, 2020.