Phoenix Houseof Ny, Inc.
NPI #1710122536 in East Hampton, New York
Provider Information
- NPI Number
- 1710122536
- Entity Type
- Organization
- Organization Name
- Phoenix Houseof Ny, Inc.
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Dec 8, 2008
- Last Updated
- Dec 8, 2008
Practice Location
- Address
- 283 SPRINGS FIREPLACE RD
- City
- East Hampton
- State
- New York
- ZIP Code
- 11937-4823
- Phone
- (631) 329-0373
Authorized Official
- Name
- MS. MICHELE ROTHAR, LCSW
- Title
- SOCIAL WORKER
- Phone
- (631) 329-0373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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