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NPI Code Detail

MEDICARE: BABA COULIBALY

MEDICARE:   BABA  COULIBALY
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
1163W00000XRegistered Nurse732710NY

General Provider Information

NPI Number : 1689185290
Entity Type Code : Individual
Provider Name (Legal Business Name) : BABA COULIBALY
Provider Business Mailing Address
First Line : 2260 WASHINGTON AVE
Second Line :
City : BRONX
State : NY
Zip : 10457-1433
Country : US
Telephone Number : 917-705-2892
Fax Number :
Provider Business Practice Location Address
First Line : 2260 WASHINGTON AVE
Second Line :
City : BRONX
State : NY
Zip : 10457-1433
Country : US
Telephone Number : 917-705-2892
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2017
Last Update Date : 10/23/2017

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Directions to “ BABA COULIBALY ” Practice Location

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