MEDICARE: MR. FRANKLIN K BARIMAH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide		NY

General Provider Information

NPI Number	:	1306612577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. FRANKLIN K BARIMAH

Provider Business Mailing Address
First Line	:	1020 GRAND CONCOURSE APT 10T
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10451-2613
Country	:	US
Telephone Number	:	917-736-3500
Fax Number	:

Provider Business Practice Location Address
First Line	:	1020 GRAND CONCOURSE APT 10T
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10451-2613
Country	:	US
Telephone Number	:	917-736-3500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2023
Last Update Date	:	11/29/2023

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