Individual
CHARLES OSEI-TUTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
856 DEKALB AVE, BROOKLYN, NY 11221-1402
(718) 919-1000
Mailing address
140 MORTON PL, BRONX, NY 10453-4506
(646) 270-6444
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
015519
NY
Other
Enumeration date
04/09/2012
Last updated
04/09/2012
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