Individual
MS. EILEEN SUSAN PHOENIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
134 CLARKE AVE, STATEN ISLAND, NY 10306-1112
(718) 619-6808
(718) 667-5365
Mailing address
134 CLARKE AVE, STATEN ISLAND, NY 10306-1112
(718) 619-6808
(718) 667-5365
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003657
NY
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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