Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phoenix House Foundation, Inc

Organization Multi-Specialty Clinic/Center · NPI 1639247653

Phoenix House Foundation, Inc provides Multi-Specialty Clinic/Center services in New York, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

164 W 74th St
New York, NY 10023-2301
Phone: (718) 222-6600
Fax: (718) 576-2866
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X · Licence 7002298R (NY)

Record details

NPI number1639247653
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Kirchoff — Sr. Vice President, Cfo · (212) 595-5810
NPI enumeratedNovember 30, 2006
Last updated in NPPESAugust 22, 2020
Mailing address50 Jay St, 3rs Fl, Brooklyn, NY 11201-1144

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