Provider Demographics
NPI:1376895417
Name:ALAPA, OSAGIE P
Entity Type:Individual
Prefix:MR
First Name:OSAGIE
Middle Name:P
Last Name:ALAPA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1404 JESUP AVE APT 5J
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10452-1970
Mailing Address - Country:US
Mailing Address - Phone:646-633-8787
Mailing Address - Fax:
Practice Address - Street 1:1404 JESUP AVE APT 5J
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10452-1970
Practice Address - Country:US
Practice Address - Phone:646-633-8787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-14
Last Update Date:2012-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY297525164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse