Organization
JOIN FENIX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE COOKE (OWNER)
(917) 499-8409
Entity
Organization
Contact information
Practice address
14 PRINCE ST, NEW YORK, NY 10012-0021
(917) 499-8409
Mailing address
14 PRINCE ST, NEW YORK, NY 10012-0021
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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