Sovereign Phoenix
Contractor · Great Neck, NY
Practice location
15 Cuttermill RdGreat Neck, NY 11021-3252
- Phone
- (516) 303-0967
NPI record
- NPI
- 1871909093
- Entity type
- Organization (Type 2)
- Enumeration date
- July 8, 2014
- Last updated
- July 8, 2014
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X |
— | — |
Authorized official
- Name
- Tyrone Barnett
- Title
- Owner
- Phone
- (516) 303-0967
About Sovereign Phoenix
Sovereign Phoenix is a healthcare organization registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 15 Cuttermill Rd, Great Neck, NY 11021-3252. The NPI number 1871909093 was assigned on July 8, 2014 and the record was last updated on July 8, 2014.
The authorized official for this organization is Tyrone Barnett, Owner.
Frequently asked questions
What is the NPI number of Sovereign Phoenix?
The NPI number is 1871909093.
What is the phone number of Sovereign Phoenix?
The phone number listed for the practice location is (516) 303-0967.
Where is Sovereign Phoenix located?
15 Cuttermill Rd, Great Neck, NY 11021-3252.
What is the taxonomy code for Sovereign Phoenix?
The primary taxonomy code is 171W00000X – Contractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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