Organization
CDA MEDICAL, PLLC
Active
Organization
CDA MEDICAL, PLLC
Active
Other names
Passport Health
Organization subpart
No
Provider details
NPI number
Authorized official
JUANA SLACK (MEDICAL BILLING SPECIALIST)
(480) 646-9086
Entity
Organization
Contact information
Practice address
207 HALLOCK RD, SUITE 201, STONY BROOK, NY 11790
(877) 358-8648
(877) 877-6875
Mailing address
4343 EAST OUTLIER BLV., SUITE 100W, PHOENIX, AZ 85008-6507
(844) 358-8648
(877) 877-6875
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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