Search › New York › 1041C0700X
Phoebus Widjaja, LMSW
NPI 1366377996 · on the registry since 2026 · sole proprietor
Practice
- Address
- 4021 60th St Apt 2
Woodside, NY 11377 - Phone
- (917) 595-8969
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York