Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Olusola O. Sanusi-Agbabiaka, MD

Individual provider Physician Assistant · NPI 1417106477

Olusola O. Sanusi-Agbabiaka, MD is a Physician Assistant in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
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

451 Clarkson Ave
Brooklyn, NY 11203-2054
Phone: (718) 245-3131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 302725 (NY)
Physician Assistant Taxonomy 363A00000X (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417106477
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 15, 2008
Last updated in NPPESNovember 24, 2020
Certification dateNovember 24, 2020

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