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Organization
VITALS HEALTHCARE SVCS
Active
Organization
VITALS HEALTHCARE SVCS
Active
Other names
VITALS HEALTHCARE SVCS, VITALS HEALTHCARE SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHEDRE PHARA PAULEMON NP (NP/OWNER)
(917) 907-0797
Entity
Organization
Contact information
Practice address
375 LINDEN BLVD, BROOKLYN, NY 11203-2709
(917) 907-0797
(917) 933-4212
Mailing address
375 LINDEN BLVD, BROOKLYN, NY 11203-2709
(917) 907-0797
(718) 540-8678
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05401478
—
NY
01
—
241008000231
FIDELIS
NY
01
—
3886122
AETNA
NY
01
—
798935
CIGNA
NY
01
—
835995
ANTHEM BC/BS
NY
01
—
F343011-C1D
HEALTHFIRST
NY
01
—
P0569292
ELDERPLAN
NY
Enumeration date
05/11/2022
Last updated
09/16/2025
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