Individual
SAMUEL K OSHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
88 NEW DORP PLZ S STE 202, STATEN ISLAND, NY 10306-2902
(917) 846-0638
Mailing address
88 NEW DORP PLZ S STE 202, STATEN ISLAND, NY 10306-2902
(917) 846-0638
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
402360
NY
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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