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

Dr. Okosun Edoro, MD

Individual provider Internal Medicine Physician · NPI 1063611481

Dr. Okosun Edoro, MD is an Internal Medicine in Camillus, New York. Qualified in 1994, 32 years ago. Practices with Familycare Medical Group PC, a 109-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina, New York and Rhode Island.

Years since qualifying
32
Licensed in
NC, NY, RI
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5700 W Genesee St Ste 109
Camillus, NY 13031-3226
Phone: (315) 487-1573
Fax: (315) 487-2418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 320247-01 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD11918 (RI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2015-02505 (NC)

Record details

NPI number1063611481
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 16, 2007
Last updated in NPPESJanuary 18, 2023
Certification dateJanuary 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Familycare Medical Group Pc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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