EILEEN PHOENIX NPI 1205335205

NPI Information

EILEEN PHOENIX is a health service clinic center in Staten Island, NY. EILEEN PHOENIX NPI is 1205335205. The provider is registered as an organization entity type.
The provider Is Doing Business As Clear Light Acupuncture.

The provider's business location address is:

134 CLARKE AVE
STATEN ISLAND, NY
ZIP 10306-112
Phone: (718) 619-6808
Fax: (718) 667-5365

The provider's authorized official is Eileen Susan Phoenix .
The authorized official title is Owner and has the following contact phone number (718) 619-6808.

The enumeration date for this NPI number is 2/5/2018 and was last updated on 2/5/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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