OLUSEGUN OLATUNBOSUN

JAMAICA, NY
NPI1942478995
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  012406)
Enumeration Date2008-02-12
Last Update Date2008-02-12
Business Address
Mr. OLUSEGUN OLATUNBOSUN Physician Assistant
15601 N CONDUIT AVE APT. #C33
JAMAICA, NY 11434-4300
Phone number: 718-755-1034
Mailing Address
Mr. OLUSEGUN OLATUNBOSUN Physician Assistant
15601 N CONDUIT AVE APT. #C33
JAMAICA, NY 11434-4300
Phone number: 718-755-1034