| NPI | 1467196402 |
|---|---|
| Other Name | VITALS HEALTHCARE SVCS |
| Entity Type | Organization |
| Authorized Contact | PHEDRE PHARA PAULEMON Owner 917-907-0797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2023-10-19 |