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Organization
VITALS HEALTHCARE SVCS
Active
Organization
VITALS HEALTHCARE SVCS
Active
Other names
VITALS HEALTHCARE SVCs
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHEDRE PHARA PAULEMON NP (OWNER)
(917) 907-0797
Entity
Organization
Contact information
Practice address
2525 NOSTRAND AVENUE, APT 2C, BROOKLYN, NY 11210-4715
(917) 907-0797
(917) 933-4212
Mailing address
2525 NOSTRAND AVENUE APT 2C, BROOKLYN, NY 11210-4715
(917) 907-0797
(917) 933-4212
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05401478
—
NY
Enumeration date
04/26/2022
Last updated
10/19/2023
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