Individual
BABATUNJI O OMOTOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2597
Mailing address
575 LEXINGTON AVE RM 2100, NEW YORK, NY 10022-6108
(646) 962-9930
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
191033
NY
207L00000X
Anesthesiology Physician
MA 65839
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7865708
—
NJ
Enumeration date
06/30/2005
Last updated
10/08/2024
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