Individual
OSARETIN SAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 ASYLUM AVE, HARTFORD, CT 06105-1770
(860) 714-4000
Mailing address
2052 TILLOTSON AVE, BRONX, NY 10475-1560
(718) 671-2100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
676294
NY
363LF0000X
Family Nurse Practitioner
Primary
12.013925
CT
Other
Enumeration date
10/01/2013
Last updated
07/11/2025
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