National Provider Identifier
Tayo Olubunmi Obatusin, MD
Tayo Olubunmi Obatusin, MD is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Elmira, NY and a listed phone number of (607) 737-7002.
Profile Overview
- NPI
- 1477727592
- Provider Type
- Individual
- Primary Specialty
- Psychiatry Physician
- Enumeration Date
- April 18, 2008
- Last Updated
- November 30, 2020
Practice Location
- 555 Saint Josephs Blvd
- Elmira, NY 14901-3223
Phone: (607) 737-7002
Mailing Address
- 571 Saint Josephs Blvd Fl 2
- Elmira, NY 14901-3230
Specialties
- Psychiatry Physician (2084P0800X)
- Addiction Psychiatry Physician (2084P0802X)
Full Record
- NPI
- 1477727592
- Entity Type
- Individual
- Last Name
- Obatusin
- First Name
- Tayo
- Middle Name
- Olubunmi
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 571 Saint Josephs Blvd Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Mailing Fax
- (607) 873-1244
- Practice Street Address
- 555 Saint Josephs Blvd
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-3223
- Practice Country
- US
- Practice Phone
- (607) 737-7002
- Practice Fax
- (607) 271-3435
- Enumeration Date
- April 18, 2008
- Last Updated
- November 30, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- November 30, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Psychiatry Physician (2084P0800X), Addiction Psychiatry Physician (2084P0802X)
- Other Identifiers
- 04325288 (NY), 10025559200 (NE), 103234051 (PA)