Individual
EMMANUEL O OLUBIYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
500 W 180TH ST, NEW YORK, NY 10033-5905
(212) 543-2277
(212) 543-2219
Mailing address
1484 INWOOD AVE, APT. 3-C, BRONX, NY 10452-2234
(718) 731-5495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
011326-1
NY
Other
Enumeration date
05/01/2007
Last updated
12/04/2014
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