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Olusegun Olatunbosun, PHYSICIAN ASSISTANT
NPI 1942478995 · on the registry since 2008
Practice
- Address
- 15601 N Conduit Ave
Apt. #C33
Jamaica, NY 11434 - Phone
- (718) 755-1034
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-02-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York