Individual
NANNA OSEITUTU-EBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 HEMPSTEAD AVE STE 151, ROCKVILLE CENTRE, NY 11570-4034
(646) 838-3560
(646) 838-3569
Mailing address
488 ALLEN AVE, BALDWIN, NY 11510-3701
(347) 743-3773
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
281669
NY
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
281669
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04252315
—
NY
Enumeration date
01/13/2015
Last updated
01/30/2025
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