Organization
PHASE PIGGY BACK, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA FIGUEROA (OFFICE MANAGER)
(212) 690-4002
Entity
Organization
Contact information
Practice address
266 W 145TH ST, NEW YORK, NY 10039-4104
(212) 690-4002
(212) 690-3264
Mailing address
266 WEST 145TH ST, NEW YORK, NY 10039-4104
(212) 690-4002
(212) 690-3264
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01992841
—
NY
Enumeration date
02/17/2011
Last updated
02/17/2011
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