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Mr. Olusola E Osofisan, LPN
Licensed Practical Nurse in Middle Island, New York
NPI 1295982064

Olusola E Osofisan is a Licensed Practical Nurse based in Middle Island, NY. Olusola E Osofisan practices in Middle Island, NY and has the professional credentials of LPN. The NPI Number for Olusola E Osofisan is 1295982064 and holds a License No. 290767 (New York).

The current practice location address for Olusola E Osofisan is 4 Smith Ln, Middle Island, NY and can be reached out via phone at 631-846-1406.

Location: 4 Smith Ln, Middle Island, NY, 11953-1851
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295982064
Provider Name
Olusola E Osofisan
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
4 Smith Ln, Middle Island, NY, 11953-1851
Phone Number
631-846-1406
Fax Number
Provider Enumeration Date
08/25/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4 Smith Ln
City
Middle Island
State
New York
Zip
11953-1851
Phone Number
631-846-1406
Fax Number
person
Provider Business Mailing Address Details
Address
4 Smith Ln
City
Middle Island
State
New York
Zip
11953-1851
Phone Number
631-846-1406
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
290767 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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