Phoenix, Eileen Susan

Phoenix, Eileen Susan is an sole proprietor health care provider with primary practice located at 134 Clarke Ave , Staten Island NY 10306-1112. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Phoenix, Eileen Susan can be contacted via phone (718) 619-6808.

Contact Information

Primary practice address
134 Clarke Ave Staten Island NY 10306-1112
Phone: (718) 619-6808
Fax: (718) 667-5365
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 003657 New York

Profile Details

NPI number 1639348154
LBN Legal business name Phoenix, Eileen Susan
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2008
Last updated Feb 28th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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