# ELITE ADULT AND SENIOR PRACTICE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497525638
- **Authorized official:** OBIOMA ONAH (OWNER)
- **Authorized official phone:** (347) 393-5187

## Contact information

- **Practice address:** 1420 BUSHWICK AVE, BROOKLYN, NY 11207-1422
- **Practice address phone:** (718) 772-7951
- **Practice address fax:** (718) 808-0043
- **Mailing address:** 21726 138TH RD, SPRINGFIELD GARDENS, NY 11413-2608
- **Mailing address phone:** (347) 393-5187
- **Mailing address fax:** (718) 808-0043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2024
- **Last updated:** 04/12/2025