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NPI Code Detail

MEDICARE: MS. OLUWASEYI O OJOFEITIMI MPT

MEDICARE:  MS. OLUWASEYI O OJOFEITIMI  MPT
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
1225100000XPhysical Therapist023258NY

General Provider Information

NPI Number : 1538297585
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. OLUWASEYI O OJOFEITIMI MPT
Provider Business Mailing Address
First Line : 89 VANDERVEER ST
Second Line : 1ST FLOOR
City : BROOKLYN
State : NY
Zip : 11207-1712
Country : US
Telephone Number : 718-246-6379
Fax Number : 718-246-6383
Provider Business Practice Location Address
First Line : 405 W 55TH ST
Second Line : 3RD FLOOR
City : NEW YORK
State : NY
Zip : 10019-4402
Country : US
Telephone Number : 212-405-9073
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2007
Last Update Date : 07/08/2007

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Directions to “ MS. OLUWASEYI O OJOFEITIMI MPT” Practice Location

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