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Organization
THE VINE NP FAMILY HEALTH, PLLC
Active
Organization
THE VINE NP FAMILY HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY HILAIRE FNP (OWNER)
(718) 233-9122
Entity
Organization
Contact information
Practice address
11358 212TH ST, QUEENS VILLAGE, NY 11429-2312
(718) 954-3553
(877) 762-6647
Mailing address
11944 218TH ST, CAMBRIA HEIGHTS, NY 11411-1911
(718) 954-3553
(877) 762-6647
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
08/13/2026
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