Organization
TUNDE OSOFISAN, DPM P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TUNDE OSOFISAN DPM (OWNER)
(917) 826-7794
Entity
Organization
Contact information
Practice address
295 THROOP AVE, 1B, BROOKLYN, NY 11206-7121
(917) 826-7794
(718) 613-4898
Mailing address
295 THROOP AVE, 1B, BROOKLYN, NY 11206-7121
(917) 826-7794
(718) 613-4898
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
N006467
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03618760
—
NY
Enumeration date
02/13/2014
Last updated
02/13/2014
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