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Organization

VITAL WELLNESS NP IN FAMILY HEALTH PLLC

Active
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Organization

VITAL WELLNESS NP IN FAMILY HEALTH PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANSA SAJI KANDAMKULATHY FNP,RN,CNN (NURSE PRACTITIONER)
(845) 270-5081
Entity
Organization

Contact information

Practice address
182 S MAIN ST STE 104, NEW CITY, NY 10956-3318
(845) 358-4000
(845) 358-4418
Mailing address
182 S MAIN ST STE 104, NEW CITY, NY 10956-3318
(845) 270-5081

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—

Other

Enumeration date
04/16/2026
Last updated
08/27/2026
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