Olatunji Odusanwo CSW

NPI 1013979897 - Social Worker - 1041C0700X

NPI Details
NPI 1013979897
Gender Male
Enumeration Date 04/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
777 SEAVIEW AVE
STATEN ISLAND NY, 10305-3436, US
Phone (718) 226-8912
Fax
Business Location
1 EDGEWATER ST
SUITE 723
STATEN ISLAND NY, 10305-4900, US
Phone (718) 226-1008
Fax (718) 226-1039
Toxanomy
Taxonomy Code 1041C0700X
License State New York
License Number 057740
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According to our database, Olatunji Odusanwo CSW NPI is 1013979897, taxonomy code is 1041C0700X and license number is 057740, license state is located at New York. Olatunji Odusanwo CSW physically located at 777 Seaview Ave, Staten Island NY, 10305-3436. NPI Number Olatunji Odusanwo CSW has the Individual type.

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1013979897 NPI number is provided on an as is basis without warranty of any kind. 1013979897 is maintained by the National Plan & Provider Enumeration System. The contents of Olatunji Odusanwo CSW are for informational purposes only.