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Organization
VITALITY NP FAMILY HEALTH PC
Active
Organization
VITALITY NP FAMILY HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SVETLANA PYATIGORSKAYA NP (OWENER)
(718) 975-0657
Entity
Organization
Contact information
Practice address
1009 BRIGHTON BEACH AVE, BROOKLYN, NY 11235-5659
(718) 975-0657
(718) 975-4337
Mailing address
2912 BRIGHTON 12TH ST STE 1, BROOKLYN, NY 11235-4722
(718) 975-0657
(718) 975-4337
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
482054
NY
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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