Adegboyega A Otubanjo
Speech-Language Pathologist, in Staten Island, New York
1811140593- Practice location
- 252 Maple Pkwy, Staten Island, NY 10303-2460
- Phone
- 718-983-1202
- Fax
- —
- Last updated
- October 28, 2008
Adegboyega A Otubanjo is a Speech-Language Pathologist, based in Staten Island, NY. Adegboyega A Otubanjo practices in Staten Island, NY. The NPI Number for Adegboyega A Otubanjo is 1811140593 and holds a License No. 017807 (NY). The current practice location address for Adegboyega A Otubanjo is 252 Maple Pkwy, Staten Island, NY 10303-2460 and can be reached out via phone at 718-983-1202.
Provider Profile Details
- NPI Number
- 1811140593
- Provider Name
- Adegboyega A Otubanjo
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 252 Maple Pkwy, Staten Island, NY 10303-2460
- Phone Number
- 718-983-1202
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 28, 2008
- Last Update Date
- October 28, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 252 Maple Pkwy
Staten Island, NY 10303-2460 - City
- Staten Island
- State
- New York
- Zip
- 10303-2460
- Phone Number
- 718-983-1202
Provider Business Mailing Address Details
- Address
- 252 Maple Pkwy
Staten Island, NY 10303-2460 - City
- Staten Island
- State
- NY
- Zip
- 10303-2460
- Phone Number
- 718-983-1202
License Information
- License Number
- 017807
- License State
- NY
- Taxonomy
- Speech-Language Pathologist, · 235Z00000X · 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 Adegboyega A Otubanjo?
The NPI number of Adegboyega A Otubanjo is 1811140593. It was assigned on October 28, 2008 and is currently active in the NPPES registry.
What is the specialty of Adegboyega A Otubanjo?
Adegboyega A Otubanjo is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NY under license number 017807.
Where does Adegboyega A Otubanjo practice?
The practice location is 252 Maple Pkwy, Staten Island, NY 10303-2460. The office can be reached at 718-983-1202 (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 1811140593 directly on the NPPES registry website.