Golden Phoenix Wellness Corporation | |
600 Broadway Ste 200-4502 Albany NY 12207-2236 | |
(214) 405-5556 | |
Not Available |
Full Name | Golden Phoenix Wellness Corporation |
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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 |
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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 |
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Provider Enumeration Date | 12/08/2021 |
Last Update Date | 01/06/2022 |
Identifier | Type | State | Issuer |
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1679232508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Memorial Hospital, Albany, N.y. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 Shaker Rd Ste G02, Albany, NY 12204 Phone: 518-449-5352 |