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1922635523

NPI Code Detail

MEDICARE: DR. ELIZABETH OGUNSANYA MD

MEDICARE: DR. ELIZABETH OGUNSANYA MD

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	208000000X	Pediatrics Physician	336151	NY
2	207P00000X	Emergency Medicine Physician	D0102985	MD
3	207PP0204X	Pediatric Emergency Medicine (Emergency Medicine) Physician	D0102985	MD
4	207PP0204X	Pediatric Emergency Medicine (Emergency Medicine) Physician	336151	NY
5	208000000X	Pediatrics Physician	D0102985	MD
6	207P00000X	Emergency Medicine Physician	336151	NY

General Provider Information

NPI Number	:	1922635523
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELIZABETH OGUNSANYA MD

Provider Business Mailing Address
First Line	:	8 S EXETER ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21202-4628
Country	:	US
Telephone Number	:	301-758-1390
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 BROOKDALE PLZ
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11212-3139
Country	:	US
Telephone Number	:	718-240-5000
Fax Number	:

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

Provider Enumeration Date	:	03/24/2020
Last Update Date	:	08/11/2025

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Directions to “ DR. ELIZABETH OGUNSANYA MD” 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.

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