Phoenix Medical Center Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PHOENIX MEDICAL CENTER INC

Practice address

341 Knickerbocker Ave
Brooklyn, NY 11237-3740

Phone

(718) 386-1100

NPI assigned

Sep 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Soshana Citrin

Title

Manager

Phone

(718) 386-1100

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1912007063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 STEVEN LN",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110241534",
            "telephone_number": "718-386-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 KNICKERBOCKER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112373740",
            "telephone_number": "718-386-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "CITRIN",
        "authorized_official_first_name": "SOSHANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-386-1100"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Barbara Phipps-Johnson, RN
• Graciela E. Phlatts, RN
• Phobia Lifeline Psychological Services, Inc.
• Phoenix Physical Therapy Rehabilitation, PLLC
• Cheryl B Phoenix
• Nikisha Renesha Phoenix, RN
• Octavia Phoenix
• Sarah Phoenix

• Family Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.