Individual
CHERYL B PHOENIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
443 FENIMORE ST, BROOKLYN, NY 11225-5905
(718) 771-0513
(718) 771-0513
Mailing address
443 FENIMORE ST, BROOKLYN, NY 11225-5905
(718) 771-0513
(718) 771-0513
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307556-1
NY
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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