Fashakin, Emmanuel Olusegun

Fashakin, Emmanuel Olusegun is an individual health care provider with primary practice located at 7935 153Rd St , Flushing NY 11367-3937. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fashakin, Emmanuel Olusegun can be contacted via phone (718) 591-1600.

Contact Information

Primary practice address
7935 153Rd St Flushing NY 11367-3937
Phone: (718) 591-1600
Fax: (718) 591-0265
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 202847 New York

Profile Details

NPI number 1922154681
LBN Legal business name Fashakin, Emmanuel Olusegun
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jul 8th, 2007 - about 19 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 1922154681 NPPES
New York MEDICAID 01652235

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