Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

OB Adult Health Nurse Practitioner Services PC

Organization Clinic/Center · NPI 1164933487

OB Adult Health Nurse Practitioner Services PC is a Clinic/Center in Staten Island, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

209 Broad St
Staten Island, NY 10304-2105
Phone: (917) 374-9180
Fax: (718) 448-7263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence F307489 (NY)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence F307489 (NY)
Gerontology Clinical Nurse Specialist Taxonomy 364SG0600X · Licence 573342 (NY)

Record details

NPI number1164933487
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Olasunkanmi Bhadmus — Assistant Director · (917) 374-9180
NPI enumeratedOctober 13, 2017
Last updated in NPPESNovember 2, 2018
Mailing address224 Osgood Ave, Staten Island, NY 10304-3607

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