Provider Demographics
NPI:1508621095
Name:NEW CREATION HEALTH AND WELLNESS INC
Entity Type:Organization
Organization Name:NEW CREATION HEALTH AND WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:HENRIETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSEI-OWUSU
Authorized Official - Suffix:
Authorized Official - Credentials:ANP
Authorized Official - Phone:646-820-4388
Mailing Address - Street 1:140 DE KRUIF PL APT 26E
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-2216
Mailing Address - Country:US
Mailing Address - Phone:646-820-4388
Mailing Address - Fax:
Practice Address - Street 1:120 DE KRUIF PL
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-2302
Practice Address - Country:US
Practice Address - Phone:646-820-4388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty