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

Samuel Obisanya

Individual provider Licensed Vocational Nurse · NPI 1063866002

Samuel Obisanya is a Licensed Vocational Nurse in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016

Practice location Address checks out

69 Birch Rd Apt 1
Staten Island, NY 10303-1718 Not confirmed with CMS for 10 years — call before visiting
Phone: (347) 994-6911
Show map & directions

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

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 310996 (NY)

Record details

NPI number1063866002
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 15, 2016
Last updated in NPPESApril 15, 2016

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