Search › New York › 1041C0700X
Olasupo Fagbenle, LMSW
NPI 1982770079 · on the registry since 2006 · sole proprietor
Practice
- Address
- 18636 Jordan Ave
Saint Albans, NY 11412 - Phone
- (917) 605-3771
- Fax
- (718) 264-7797
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-01-05
- Status
- Not present in the most recent federal file
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