Individual
MR. BEN OSUALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
151 ADA DR, STATEN ISLAND, NY 10314-1416
(646) 406-1875
Mailing address
151 ADA DR, STATEN ISLAND, NY 10314-1416
(646) 406-1875
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F346652-01
NY
Other
Enumeration date
05/19/2011
Last updated
11/05/2021
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