MEDICARE: MR. ISRAEL OLUSEGUN FASHUSI RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	563386	NY
2	163WA0400X	Addiction (Substance Use Disorder) Registered Nurse	563386	NY
3	163WC0400X	Case Management Registered Nurse	563386	NY
4	163WC1500X	Community Health Registered Nurse	563386	NY
5	163WH0200X	Home Health Registered Nurse	563386	NY
6	163WP0808X	Psychiatric/Mental Health Registered Nurse	563386	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043580707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ISRAEL OLUSEGUN FASHUSI RN

Provider Business Mailing Address
First Line	:	10552 FLATLANDS 8TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-4622
Country	:	US
Telephone Number	:	917-916-7769
Fax Number	:

Provider Business Practice Location Address
First Line	:	10552 FLATLANDS 8TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11236-4622
Country	:	US
Telephone Number	:	917-916-7769
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2012
Last Update Date	:	01/11/2012

Similar Medicare Providers

1245454271 — NAOMI RHEIN RD
Practice Location Address:

1267 E 27TH ST
BROOKLYN, NY
11210-4622

Practice Phone: 718-377-2456
Practice Fax:

1568632909 — MS. VALERIE BONO PA
Practice Location Address:

196 BAY 20TH ST
BROOKLYN, NY
11214-4622

Practice Phone: 718-837-9238
Practice Fax:

1649645839 — MARINA SAGINOR
Practice Location Address:

446 KINGSTON AVE APT F1
BROOKLYN, NY
11225-4622

Practice Phone: 917-743-5190
Practice Fax:

1821565979 — JACQUELYN WEISZ
Practice Location Address:

1245 E 27TH ST
BROOKLYN, NY
11210-4622

Practice Phone: 917-613-3296
Practice Fax:

1386396711 — DOVID LEVIN
Practice Location Address:

5709 14TH AVE
BROOKLYN, NY
11219-4622

Practice Phone: 718-438-5499
Practice Fax:

1295467991 — ANASTASIA RAPHAELL NAVARRO
Practice Location Address:

53 5TH AVE APT 3L
BROOKLYN, NY
11217-4622

Practice Phone: 347-303-3881
Practice Fax:

Directions to “ MR. ISRAEL OLUSEGUN FASHUSI RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.