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Organization
PHOENIX HOUSEOF NY, INC.
Active
Organization
PHOENIX HOUSEOF NY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE ROTHAR LCSW (SOCIAL WORKER)
(631) 329-0373
Entity
Organization
Contact information
Practice address
283 SPRINGS FIREPLACE RD, EAST HAMPTON, NY 11937-4823
(631) 329-0373
(631) 907-9345
Mailing address
283 SPRINGS FIREPLACE RD, EAST HAMPTON, NY 11937-4823
(631) 329-0373
(631) 907-9345
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
069641
NY
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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