| Phoenix School Based Health Center | |
|
504 W. 158th Street 5th Floor, Room 511 New York NY 10032-7202 | |
| (917) 521-3130 | |
| (917) 521-3108 |
| Full Name | Phoenix School Based Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 504 W. 158th Street, New York, New York |
| Authorized Official Name and Position | Alan J. Wengrofsky (VICE PRESIDENT OF FINANCE AND CFO) |
| Authorized Official Contact | 2125452439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix School Based Health Center 60 Madison Ave Fl 5 New York NY 10010-1600 Ph: (212) 545-2439 | Phoenix School Based Health Center 504 W. 158th Street 5th Floor, Room 511 New York NY 10032-7202 Ph: (917) 521-3130 |
| NPI Number | 1912436858 |
|---|---|
| Provider Enumeration Date | 06/05/2017 |
| Last Update Date | 06/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912436858 | NPI | - | NPPES |
| 00695941 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 7002119R (New York) | Primary |
Dr Tuyen T Trinh, D.o.,pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 Baxter St, Room 502, New York, NY 10013 Phone: 212-233-6662 Fax: 212-233-6663 | |
Debra Green, Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 E 57th St, Suite 510, New York, NY 10022 Phone: 212-584-5402 Fax: 212-744-4072 | |
S. Nadesan Physician, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308a East 15th Street, New York, NY 10003 Phone: 212-420-6460 Fax: 646-602-1091 | |
Avraham Y Henoch Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 564 W 160th St, New York, NY 10032 Phone: 212-740-6400 Fax: 212-740-4105 | |
Vincent Esposito Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W 86th St, Ste 1a, New York, NY 10024 Phone: 212-595-1234 Fax: 212-595-0342 | |
Jeffrey Glick Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 E 65th St, New York, NY 10065 Phone: 212-861-4278 | |
Columbiadoctors Ambulatory Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 W 168th St, Bb 2-239, New York, NY 10032 Phone: 212-305-1181 |