Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Sovereign Phoenix

Organization Contractor · NPI 1871909093

Sovereign Phoenix provides Contractor services 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 Not confirmed with CMS for 12 years — call before visiting
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

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