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Samuel K Osho
Psychiatric/Mental Health Nurse Practitioner in Staten Island, New York
NPI 1306457171

Samuel K Osho is a Psychiatric/Mental Health Nurse Practitioner based in Staten Island, NY and is specialized in Psychiatric/Mental Health. Samuel K Osho practices in Staten Island, NY. The NPI Number for Samuel K Osho is 1306457171 and holds a License No. 402360 (New York).

The current practice location address for Samuel K Osho is 88 New Dorp Plz S Ste 202, Staten Island, NY and can be reached out via phone at 917-846-0638.

Location: 88 New Dorp Plz S Ste 202, Staten Island, NY, 10306-2902
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306457171
Provider Name
Samuel K Osho
Credential
Provider Entity Type
Individual
Gender
Male
Address
88 New Dorp Plz S Ste 202, Staten Island, NY, 10306-2902
Phone Number
917-846-0638
Fax Number
Provider Enumeration Date
08/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
88 New Dorp Plz S Ste 202
City
Staten Island
State
New York
Zip
10306-2902
Phone Number
917-846-0638
Fax Number
person
Provider Business Mailing Address Details
Address
88 New Dorp Plz S Ste 202
City
Staten Island
State
New York
Zip
10306-2902
Phone Number
917-846-0638
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
402360 (New York)
Definition
Definition to come...
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