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

Sovereign Phoenix

Organization Contractor · NPI 1871909093

Sovereign Phoenix is a Contractor in Great Neck, New York. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

15 Cuttermill Rd
Great Neck, NY 11021-3252
Phone: (516) 303-0967
Show map & directions

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

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1871909093
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tyrone Barnett — Owner · (516) 303-0967
NPI enumeratedJuly 8, 2014
Last updated in NPPESJuly 8, 2014
Mailing address15 Cuttermill Rd, Great Neck, NY 11021-3252

Other providers in Great Neck