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

Individual provider Podiatrist · NPI 1356781801

Omodunni Osofisan is a Podiatrist in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
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Practice location Address checks out

4422 3rd Ave
Bronx, NY 10457-2545
Phone: (718) 960-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence P75658 (NY)

Record details

NPI number1356781801
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 28, 2013
Last updated in NPPESJune 28, 2013

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