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PHASE PIGGY BACK INC NPI 1588961122


NPI Information

NPI: 1588961122
Provider Name: PHASE PIGGY BACK, INC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
266 W 145TH ST
NEW YORK, NY
ZIP 10039
Phone: (212) 690-4002
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PHASE PIGGY BACK, INC is a clinic center in New York, NY. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PHASE PIGGY BACK, INC NPI is 1588961122. The provider is registered as an organization entity type.

The provider's business location address is:

266 W 145TH ST
NEW YORK, NY
ZIP 10039-104
Phone: (212) 690-4002
Fax: (212) 690-3264

The provider's authorized official is Joanna Figueroa .
The authorized official title is Office Manager and has the following contact phone number (212) 690-4002.

The enumeration date for this NPI number is 2/17/2011 and was last updated on 2/17/2011.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101992841MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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