Olatunde Osofisan


Address: 295 Throop Ave, Apt 1b, Brooklyn, NY 11206-7121
Phone: 9178267794

Olatunde Osofisan (NPI# 1306129341, PAC ID# 3870735723) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.

Physician Overview

Nation Provider ID (NPI) 1306129341
PAC ID by PECOS 3870735723
Professional Enrollment ID I20130806000600
Full Name Olatunde Osofisan
Address 295 Throop Ave
Apt 1b
Brooklyn
NY 11206-7121
Phone Number 9178267794
Gender M
Medical School NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year 2010
Primary Specialty PODIATRY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330056 BROOKLYN HOSPITAL CENTER AT DOWNTOWN CAMPUS

Other Locations

Address Phone Organization
121 Dekalb Ave, Brooklyn, NY 11201-5425 TBHC PHYSICIAN SERVICES PC
295 Throop Ave, Apt 1b, Brooklyn, NY 11206-7121 9178267794
99 Division Ave, Brooklyn, NY 11249-6620 7185996200 TBHC PHYSICIAN SERVICES PC

Organization Information

Office Location

Street Address 295 THROOP AVE
APT 1B
City BROOKLYN
State NY
Zip 11206-7121

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Competitor

Search similar physicians

City BROOKLYN
Zip Code 11206
Specialty PODIATRY
City + Specialty BROOKLYN + PODIATRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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