Individual ProviderOsagie Ife AlufaNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address450 Clarkson Ave, Brooklyn, NY 11203-2012(718) 270-2816(718) 209-1248PECOS EnrollmentBased on the most recent information from CMS, provider Osagie Ife Alufa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1902518202Provider TypeIndividualFull NameAlufa, Osagie IfeGenderMaleSole ProprietorNoEnumeration Date12/19/2022Last Updated12/19/2022Contact InformationPractice LocationPractice Address450 Clarkson Ave, Brooklyn, NY 11203-2012Phone(718) 270-2816FaxUnlisted FaxMailing LocationMailing Address1321 E 89th St Apt 1, Brooklyn, NY 11236-5121Phone(718) 209-1248FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF348946-01New York