NPI 1063866002

Samuel Obisanya

Practitioner Licensed Vocational Nurse Staten Island, NY

Practice location

Address: 69 Birch Rd APT 1, Staten Island, NY 10303-1718
Phone: (347) 994-6911

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence 310996 (NY)

Other Licensed Vocational Nurse providers in New York →

Registry record

NPI: 1063866002
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Apr 2016
Record last updated: 15 Apr 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.