Organization · Type 2 NPI

The Vine NP Family Health, PLLC

Family Nurse Practitioner · Queens Village, NY

NPI number 1154078335 Active

Practice location

11358 212th St
Queens Village, NY 11429-2312

Fax (877) 762-6647

Mailing address

11944 218th St
Cambria Heights, NY 11411-1911

Other practice locations

  • 230 Hilton Ave Ste 105, Hempstead, NY 11550-8116 · (718) 954-3553

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1154078335

The Vine NP Family Health, PLLC's National Provider Identifier is 1154078335, issued on Mar 7, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Queens Village, NY. The record was last updated on Aug 13, 2026.