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Samuel Obisanya
NPI 1063866002 · on the registry since 2016 · sole proprietor
Practice
- Address
- 69 Birch Rd Apt 1
Staten Island, NY 10303 - Phone
- (347) 994-6911
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-04-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York