| Phoenix Marriage & Family Therapy Pllc | |
|
19 W 34th St Ph New York NY 10001-3006 | |
| (212) 363-0787 | |
| Not Available |
| Full Name | Phoenix Marriage & Family Therapy Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 19 W 34th St Ph, New York, New York |
| Authorized Official Name and Position | Phoenix Amal Muhammad (CEO) |
| Authorized Official Contact | 2123630787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Marriage & Family Therapy Pllc 5 Fordham Hill Oval Apt 11a Bronx NY 10468-4758 Ph: (212) 363-0787 | Phoenix Marriage & Family Therapy Pllc 19 W 34th St Ph New York NY 10001-3006 Ph: (212) 363-0787 |
| NPI Number | 1316522360 |
|---|---|
| Provider Enumeration Date | 03/11/2021 |
| Last Update Date | 03/11/2021 |
| Certification Date | 03/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316522360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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