Samuel Obisanya
Licensed Vocational Nurse in Staten Island, New York
1063866002- Practice location
- 69 Birch RD Apt 1, Staten Island, NY 10303-1718
- Phone
- 347-994-6911
- Fax
- —
- Last updated
- April 15, 2016
Samuel Obisanya is a Licensed Vocational Nurse based in Staten Island, NY. Samuel Obisanya practices in Staten Island, NY. The NPI Number for Samuel Obisanya is 1063866002 and holds a License No. 310996 (NY). The current practice location address for Samuel Obisanya is 69 Birch RD Apt 1, Staten Island, NY 10303-1718 and can be reached out via phone at 347-994-6911.
Provider Profile Details
- NPI Number
- 1063866002
- Provider Name
- Samuel Obisanya
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 69 Birch RD Apt 1, Staten Island, NY 10303-1718
- Phone Number
- 347-994-6911
- Primary Taxonomy
- Licensed Vocational Nurse · 164X00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 15, 2016
- Last Update Date
- April 15, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 69 Birch RD Apt 1
Staten Island, NY 10303-1718 - City
- Staten Island
- State
- New York
- Zip
- 10303-1718
- Phone Number
- 347-994-6911
Provider Business Mailing Address Details
- Address
- 69 Birch RD Apt 1
Staten Island, NY 10303-1718 - City
- Staten Island
- State
- NY
- Zip
- 10303-1718
- Phone Number
- 347-994-6911
License Information
- License Number
- 310996
- License State
- NY
- Taxonomy
- Licensed Vocational Nurse · 164X00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Samuel Obisanya?
The NPI number of Samuel Obisanya is 1063866002. It was assigned on April 15, 2016 and is currently active in the NPPES registry.
What is the specialty of Samuel Obisanya?
Samuel Obisanya is registered under the primary taxonomy Licensed Vocational Nurse (code 164X00000X), licensed in NY under license number 310996.
Where does Samuel Obisanya practice?
The practice location is 69 Birch RD Apt 1, Staten Island, NY 10303-1718. The office can be reached at 347-994-6911 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063866002 directly on the NPPES registry website.