institution
Eileen Phoenix
Health Service Clinic/Center in Staten Island, New York
NPI 1205335205

Eileen Phoenix is a Health Service Clinic/Center based in Staten Island, NY and is specialized in Health Service. Eileen Phoenix practices in Staten Island, NY. The NPI Number for Eileen Phoenix is 1205335205 and holds a License No. (New York).

The current practice location address for Eileen Phoenix is 134 Clarke Ave, Staten Island, NY and can be reached out via phone at 718-619-6808 and via fax at 718-667-5365.

Location: 134 Clarke Ave, Staten Island, NY, 10306-1112
institution
Provider Profile Details
NPI Number
1205335205
Provider Name
Eileen Phoenix
Credential
Provider Entity Type
Organization
Address
134 Clarke Ave, Staten Island, NY, 10306-1112
Phone Number
718-619-6808
Fax Number
718-667-5365
Provider Enumeration Date
02/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
134 Clarke Ave
City
State
Zip
10306-1112
Phone Number
718-619-6808
Fax Number
718-667-5365
person
Provider Business Mailing Address Details
Address
134 Clarke Ave
City
State
Zip
10306-1112
Phone Number
718-619-6808
Fax Number
718-667-5365
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
()
Definition
Definition to come...
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