| Golden Phoenix Wellness Corporation | |
|
600 Broadway Ste 200-4502 Albany NY 12207-2236 | |
| (214) 405-5556 | |
| Not Available |
| Full Name | Golden Phoenix Wellness Corporation |
|---|---|
| Speciality | Clinic/center |
| Location | 600 Broadway Ste 200-4502, Albany, New York |
| Authorized Official Name and Position | Stephanie Fuller (CO-CEO) |
| Authorized Official Contact | 2144055556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Phoenix Wellness Corporation 600 Broadway Ste 200-4502 Albany NY 12207-2236 Ph: () - | Golden Phoenix Wellness Corporation 600 Broadway Ste 200-4502 Albany NY 12207-2236 Ph: (214) 405-5556 |
| NPI Number | 1679232508 |
|---|---|
| Provider Enumeration Date | 12/08/2021 |
| Last Update Date | 01/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679232508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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