Sirju, Phaedra

Sirju, Phaedra is an sole proprietor health care provider with primary practice located at 18619 122Nd Ave , Springfield Gardens NY 11413-1074. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Lactation Consultant, Non-RN, Nursing Service Related Providers / Doula. Nursing Service Related Providers / Doula is her primary health care specialty. Sirju, Phaedra can be contacted via phone (917) 254-1398.

Contact Information

Primary practice address
18619 122Nd Ave Springfield Gardens NY 11413-1074
Phone: (917) 254-1398
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Lactation Consultant, Non-RN 174N00000X
Nursing Service Related Providers / Doula 374J00000X

Profile Details

NPI number 1679146799
LBN Legal business name Sirju, Phaedra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2021
Last updated Jul 19th, 2021 - about 3 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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