| Oseitutu Family Medical Pllc | |
|
165 N Village Ave Ste 151 Rockville Centre NY 11570-3761 | |
| (646) 838-3560 | |
| (646) 838-3569 |
| Full Name | Oseitutu Family Medical Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 165 N Village Ave Ste 151, Rockville Centre, New York |
| Authorized Official Name and Position | Nanna Oseitutu-ebanks (OWNER) |
| Authorized Official Contact | 3477433773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oseitutu Family Medical Pllc 488 Allen Ave Baldwin NY 11510-3701 Ph: (347) 743-3773 | Oseitutu Family Medical Pllc 165 N Village Ave Ste 151 Rockville Centre NY 11570-3761 Ph: (646) 838-3560 |
| NPI Number | 1528536471 |
|---|---|
| Provider Enumeration Date | 11/08/2018 |
| Last Update Date | 12/02/2023 |
| Medicare PECOS PAC ID | 1951648872 |
|---|---|
| Medicare Enrollment ID | O20190130000520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528536471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nanna Oseitutu-ebanks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477942597 PECOS PAC ID: 8123338944 Enrollment ID: I20151106001867 |
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