Individual
DR. FAITH ORITSEMATOSAN OSIME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2422 MATTHEWS AVE, BRONX, NY 10467-9212
(718) 547-4413
Mailing address
2422 MATTHEWS AVE, BRONX, NY 10467-9212
(718) 547-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
259018
NY
207Q00000X
Family Medicine Physician
625
NY
Other
Enumeration date
05/15/2008
Last updated
07/05/2017
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