Organization
ELITE ADULT AND SENIOR PRACTICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OBIOMA ONAH (OWNER)
(347) 393-5187
Entity
Organization
Contact information
Practice address
1420 BUSHWICK AVE, BROOKLYN, NY 11207-1422
(718) 772-7951
(718) 808-0043
Mailing address
21726 138TH RD, SPRINGFIELD GARDENS, NY 11413-2608
(347) 393-5187
(718) 808-0043
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
04/12/2025
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