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NPI Code Detail

MEDICARE: SAIROU M BODOUNR

MEDICARE: SAIROU M BODOUNR
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
1347E00000XTransportation Broker
2342000000XTransportation Network CompanyBO3728NY
3172A00000XDriver831192363NY

General Provider Information

NPI Number : 1811830466
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAIROU M BODOUNR
Provider Business Mailing Address
First Line : 24540 148TH DR
Second Line :
City : ROSEDALE
State : NY
Zip : 11422-2708
Country : US
Telephone Number : 347-796-2577
Fax Number : 347-778-5933
Provider Business Practice Location Address
First Line : 473 BERGEN ST APT 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-4041
Country : US
Telephone Number : 347-796-2577
Fax Number : 347-778-5933
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2026
Last Update Date : 04/14/2026

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Directions to “ SAIROU M BODOUNR ” Practice Location

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