Mr. Liberty O Izevbuwa, MSW
Counselor in Staten Island, New York
1205250545- Practice location
- 119 Tompkins Ave, B-Level, Staten Island, NY 10304-2601
- Phone
- 646-385-2762
- Fax
- 718-303-8989
- Last updated
- March 10, 2014
Liberty Osa Izevbuwa is a Counselor based in Staten Island, NY. Liberty Osa Izevbuwa practices in Staten Island, NY and has the professional credentials of MSW. The NPI Number for Liberty Osa Izevbuwa is 1205250545. The current practice location address for Liberty Osa Izevbuwa is 119 Tompkins Ave, B-Level, Staten Island, NY 10304-2601 and can be reached out via phone at 646-385-2762 and via fax at 718-303-8989.
Provider Profile Details
- NPI Number
- 1205250545
- Provider Name
- Liberty Osa Izevbuwa
- Credential
- MSW
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 119 Tompkins Ave, B-Level, Staten Island, NY 10304-2601
- Phone Number
- 646-385-2762
- Fax Number
- 718-303-8989
- Primary Taxonomy
- Counselor · 101Y00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 6, 2014
- Last Update Date
- March 10, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 119 Tompkins Ave
B-Level
Staten Island, NY 10304-2601 - City
- Staten Island
- State
- New York
- Zip
- 10304-2601
- Phone Number
- 646-385-2762
- Fax Number
- 718-303-8989
Provider Business Mailing Address Details
- Address
- 119 Tompkins Ave
B-Level
Staten Island, NY 10304-2601 - City
- Staten Island
- State
- NY
- Zip
- 10304-2601
- Phone Number
- 646-385-2762
- Fax Number
- 718-303-8989
License Information
- Taxonomy
- Counselor · 101Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselors near Staten Island, NY
View all Counselors in Staten Island →Frequently Asked Questions
What is the NPI number of Mr. Liberty O Izevbuwa, MSW?
The NPI number of Mr. Liberty O Izevbuwa, MSW is 1205250545. It was assigned on February 6, 2014 and is currently active in the NPPES registry.
What is the specialty of Mr. Liberty O Izevbuwa, MSW?
Mr. Liberty O Izevbuwa, MSW is registered under the primary taxonomy Counselor (code 101Y00000X).
Where does Mr. Liberty O Izevbuwa, MSW practice?
The practice location is 119 Tompkins Ave, B-Level, Staten Island, NY 10304-2601. The office can be reached at 646-385-2762 (phone) or 718-303-8989 (fax).
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 1205250545 directly on the NPPES registry website.