LAWRENCE ODUSANYA

STATEN ISLAND, NY
NPI1902127160
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  256310)
Enumeration Date2010-06-22
Last Update Date2010-06-22
Business Address
-- LAWRENCE ODUSANYA
54 DOREEN DR
STATEN ISLAND, NY 10303-2135
Phone number: 718-619-5090
Mailing Address
-- LAWRENCE ODUSANYA
54 DOREEN DR
STATEN ISLAND, NY 10303-2135
Phone number: 718-619-5090