Active NPIIndividual providerSole proprietor

Ebenezer A Awolesi

Physical Therapist in Staten Island, New York

NPI Number1447795323
Practice location
355 Bard Ave, Staten Island, NY 10310-1664
Fax
—
Last updated
December 30, 2016

Ebenezer A Awolesi is a Physical Therapist based in Staten Island, NY. Ebenezer A Awolesi practices in Staten Island, NY. The NPI Number for Ebenezer A Awolesi is 1447795323 and holds a License No. 025399 (NY). The current practice location address for Ebenezer A Awolesi is 355 Bard Ave, Staten Island, NY 10310-1664 and can be reached out via phone at 718-818-3163.

Provider Profile Details

NPI Number
1447795323
Provider Name
Ebenezer A Awolesi
Provider Entity Type
Individual
Gender
Male
Address
355 Bard Ave, Staten Island, NY 10310-1664
Phone Number
718-818-3163
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
December 30, 2016
Last Update Date
December 30, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
355 Bard Ave
Staten Island, NY 10310-1664
Zip
10310-1664
Phone Number
718-818-3163
Staten Island, NY 10310Get directions →

Provider Business Mailing Address Details

Address
48 Reservoir RD
Hackettstown, NJ 07840-5647
City
Hackettstown
State
NJ
Zip
07840-5647

License Information

License Number
025399
License State
NY
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Ebenezer A Awolesi?

The NPI number of Ebenezer A Awolesi is 1447795323. It was assigned on December 30, 2016 and is currently active in the NPPES registry.

What is the specialty of Ebenezer A Awolesi?

Ebenezer A Awolesi is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 025399.

Where does Ebenezer A Awolesi practice?

The practice location is 355 Bard Ave, Staten Island, NY 10310-1664. The office can be reached at 718-818-3163 (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 1447795323 directly on the NPPES registry website.

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