institution
Phoenix House Foundation, Inc.
Multi-Specialty Clinic/Center in New York, New York
NPI 1639247653

Phoenix House Foundation, Inc. is a Multi-Specialty Clinic/Center based in Brooklyn, NY and is specialized in Multi-Specialty. Phoenix House Foundation, Inc. practices in New York, NY. The NPI Number for Phoenix House Foundation, Inc. is 1639247653 and holds a License No. 7002298R (New York).

The current practice location address for Phoenix House Foundation, Inc. is 164 W 74Th St, New York, NY and can be reached out via phone at 718-222-6600 and via fax at 718-576-2866. You can also correspond with Phoenix House Foundation, Inc. through the mailing address at 50 JAY ST, BROOKLYN, NY - 11201-1144 (mailing address contact number: 718-222-6600).

Location: 164 W 74Th St, New York, NY, 11201-1144
institution
Provider Profile Details
NPI Number
1639247653
Provider Name
Phoenix House Foundation, Inc.
Credential
Provider Entity Type
Organization
Address
164 W 74Th St, New York, NY, 11201-1144
Phone Number
718-222-6600
Fax Number
718-576-2866
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
00371673 05 NY
institution
Provider Business Practice Location Address Details
Address
164 W 74Th St
City
State
Zip
10023-2301
Phone Number
718-222-6600
Fax Number
718-576-2866
person
Provider Business Mailing Address Details
Address
164 W 74Th St
City
State
Zip
10023-2301
Phone Number
718-222-6600
Fax Number
718-576-2866
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
7002298R (New York)
Definition
Definition to come...
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