Willard Osibin, DDS is a student in an organized health care education training program in Bronx, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Willard Osibin, DDS NPI is 1205178357. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1770 GRAND CONCOURSE
B LEVEL SUITE C
BRONX, NY
ZIP 10457-524
Phone: (718) 901-8132
The NPI 1205178357 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 3/26/2013 and was last updated on 3/26/2013.