Organization · Type 2 NPI

Sovereign Phoenix

Contractor · Great Neck, NY

NPI number 1871909093 Active

Practice location

15 Cuttermill Rd
Great Neck, NY 11021-3252

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1871909093

Sovereign Phoenix's National Provider Identifier is 1871909093, issued on Jul 8, 2014. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Great Neck, NY. The record was last updated on Jul 8, 2014.