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Organization
VITAL CARE WELLNESS NP IN ADULT HEALTH PLLC
Active
Organization
VITAL CARE WELLNESS NP IN ADULT HEALTH PLLC
Active
Parent organization
ELITE ADULT AND SENIOR PRACTICE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELITE ADULT AND SENIOR PRACTICE INC
Authorized official
OBIOMA ONAH DNP (PRESIDENT)
(347) 393-5187
Entity
Organization
Contact information
Practice address
21726 138TH RD, SPRINGFIELD GARDENS, NY 11413-2608
(845) 288-0988
(718) 808-0043
Mailing address
21726 138TH RD, SPRINGFIELD GARDENS, NY 11413-2608
(845) 288-0988
(718) 808-0043
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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