IndividualActive
Adegboyega Otubanjo
NPI 1811140593 · Speech-Language Pathologist · Staten Island, NY
Provider details
- NPI number
- 1811140593
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 017807 (NY)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
252 Maple Pkwy
Staten Island, NY 10303-2460
Phone: (718) 983-1202
Approximate (ZIP-level) locationGet directions
Mailing address
252 Maple Pkwy
Staten Island, NY 10303-2460
Registry dates
- Enumerated
- 2008-10-28
- Last updated
- 2008-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.