VITALITY-WELLNESS NURSE PRACTITIONER IN PSYCHIATRY AND FAMILY HEALTH PLLC NPI 1154153211

NPI Information

  • NPI: 1154153211
  • Provider Name: VITALITY-WELLNESS NURSE PRACTITIONER IN PSYCHIATRY AND FAMILY HEALTH PLLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 110 JERICHO TPKE STE 212
    FLORAL PARK, NY
    ZIP 11001
  • Phone: (646) 856-9036

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NPI Details

VITALITY-WELLNESS NURSE PRACTITIONER IN PSYCHIATRY AND FAMILY HEALTH PLLC is a psychiatric/mental health nurse practitioner in Floral Park, NY. VITALITY-WELLNESS NURSE PRACTITIONER IN PSYCHIATRY AND FAMILY HEALTH PLLC NPI is 1154153211. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

110 JERICHO TPKE STE 212
FLORAL PARK, NY
ZIP 11001-019
Phone: (646) 856-9036

The provider's authorized official is Ekaete Lawal .
The authorized official title is Pmhnp-bc and has the following contact phone number (646) 856-9036.

The enumeration date for this NPI number is 8/16/2024 and was last updated on 1/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyNo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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