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Individual
MR. ISRAEL OLUSEGUN FASHUSI
Active
Individual
MR. ISRAEL OLUSEGUN FASHUSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
563386
NY
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
563386
NY
163WC0400X
Case Management Registered Nurse
563386
NY
163WC1500X
Community Health Registered Nurse
563386
NY
163WH0200X
Home Health Registered Nurse
563386
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
563386
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
NY
Enumeration date
01/11/2012
Last updated
01/11/2012
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