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

Mr. Olusegun Olatunbosun, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1942478995

Mr. Olusegun Olatunbosun, PHYSICIANASSISTANT is a Physician Assistant in Jamaica, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008

Practice location Address checks out

15601 N Conduit Ave Apt #C33
Jamaica, NY 11434-4300
Phone: (718) 755-1034
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 012406 (NY)

Record details

NPI number1942478995
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedFebruary 12, 2008
Last updated in NPPESFebruary 12, 2008

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