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Organization
VITAL CARE NP IN FAMILY HEALTH PLLC
Active
Organization
VITAL CARE NP IN FAMILY HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RIVKA FENTON (CREDENTIALING SPECIALIST)
(224) 491-2517
Entity
Organization
Contact information
Practice address
14736 76TH AVE, FLUSHING, NY 11367-3118
(646) 525-5965
Mailing address
14736 76TH AVE, FLUSHING, NY 11367-3118
(646) 525-5965
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
06/09/2026
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