| Samuel Obisanya, | |
|
69 Birch Rd Apt 1, Staten Island, NY 10303-1718 | |
| (347) 994-6911 | |
| Not Available |
| Full Name | Samuel Obisanya |
|---|---|
| Gender | Male |
| Speciality | Licensed Vocational Nurse |
| Location | 69 Birch Rd Apt 1, Staten Island, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063866002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 310996 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Obisanya, 69 Birch Rd Apt 1, Staten Island, NY 10303-1718 Ph: (347) 994-6911 | Samuel Obisanya, 69 Birch Rd Apt 1, Staten Island, NY 10303-1718 Ph: (347) 994-6911 |
Temitope Mary Azeez, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 26 Dumont Ave, Staten Island, NY 10305 Phone: 718-667-8510 | |
Viktoriya Volkova, Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 273 Saint Marks Pl Apt 6c, Staten Island, NY 10301 Phone: 917-979-0426 |