Organization
OSEITUTU FAMILY MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANNA OSEITUTU-EBANKS MD (OWNER)
(347) 743-3773
Entity
Organization
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
—
—
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
11/08/2018
Last updated
03/12/2025
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