Obatusin, Tayo Olubunmi

Obatusin, Tayo Olubunmi is an individual health care provider with primary practice located at 555 Saint Josephs Blvd , Elmira NY 14901-3223. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Obatusin, Tayo Olubunmi can be contacted via phone (607) 737-7002.

Contact Information

Primary practice address
555 Saint Josephs Blvd Elmira NY 14901-3223
Phone: (607) 737-7002
Fax: (607) 271-3435
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 24859 Nebraska
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 249360 New York

Profile Details

NPI number 1477727592
LBN Legal business name Obatusin, Tayo Olubunmi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2008
Last updated Nov 30th, 2020 - about 4 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 1477727592 NPPES
New York MEDICAID 04325288
New York MEDICAID 10025559200
New York MEDICAID 103234051

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