Jervis, Aluko Osafo

Jervis, Aluko Osafo is an sole proprietor health care provider with primary practice located at 295 Myrtle Ave , Staten Island NY 10310-2332. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Jervis, Aluko Osafo can be contacted via phone (718) 720-6866.

Contact Information

Primary practice address
295 Myrtle Ave Staten Island NY 10310-2332
Phone: (718) 720-6866
Fax: (718) 720-6931
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X N006185-1 New York

Profile Details

NPI number 1982769477
LBN Legal business name Jervis, Aluko Osafo
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 26th, 2006
Last updated Feb 7th, 2019 - about 7 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 1982769477 NPPES
New York Other N006185-1 LICENSE NUMBER

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