Esan, Olanrewaju Olusola

Esan, Olanrewaju Olusola is an individual health care provider with primary practice located at 320 Wilson St Ste 2, W Hempstead NY 11552-2019. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Esan, Olanrewaju Olusola can be contacted via phone (516) 485-5864.

Contact Information

Primary practice address
320 Wilson St Ste 2 W Hempstead NY 11552-2019
Fax: (516) 485-0151
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 211598 New York
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 211598 New York

Profile Details

NPI number 1861494239
LBN Legal business name Esan, Olanrewaju Olusola
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated May 25th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861494239 NPPES
New York MEDICAID 01862808

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