Sirju, Phaedra
Sirju, Phaedra is an sole proprietor health care provider with primary practice located at 18619 122Nd Ave , Springfield Gardens NY 11413-1074. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Lactation Consultant, Non-RN, Nursing Service Related Providers / Doula. Nursing Service Related Providers / Doula is her primary health care specialty. Sirju, Phaedra can be contacted via phone (917) 254-1398.Contact Information
Primary practice address
18619 122Nd Ave
Springfield Gardens NY 11413-1074
Phone: (917) 254-1398
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
| Other Service Providers / Lactation Consultant, Non-RN | 174N00000X | ||
| Nursing Service Related Providers / Doula | 374J00000X |
Profile Details
| NPI number | 1679146799 |
|---|---|
| LBN Legal business name | Sirju, Phaedra |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2021 |
| Last updated | Jul 19th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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