# OSEITUTU FAMILY MEDICAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528536471
- **Authorized official:** DR. NANNA OSEITUTU-EBANKS MD (OWNER)
- **Authorized official phone:** (347) 743-3773

## Contact information

- **Practice address:** 30 HEMPSTEAD AVE STE 151, ROCKVILLE CENTRE, NY 11570-4034
- **Practice address phone:** (646) 838-3560
- **Practice address fax:** (646) 838-3569
- **Mailing address:** 488 ALLEN AVE, BALDWIN, NY 11510-3701
- **Mailing address phone:** (347) 743-3773

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/08/2018
- **Last updated:** 03/12/2025