Individual
ELAINE OBUSELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
138 VAN BUREN ST # 1, BROOKLYN, NY 11221-1319
(917) 257-8860
Mailing address
138 VAN BUREN ST # 1, BROOKLYN, NY 11221-1319
(917) 257-8860
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
NY
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
07/17/2017
Last updated
07/21/2022
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