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NPI Code Detail

MEDICARE: PISHOI BAKOOM

MEDICARE:   PISHOI  BAKOOM
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
11041S0200XSchool Social WorkerNY

General Provider Information

NPI Number : 1962331777
Entity Type Code : Individual
Provider Name (Legal Business Name) : PISHOI BAKOOM
Provider Business Mailing Address
First Line : 26 MCARTHUR AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-1925
Country : US
Telephone Number : 347-476-7754
Fax Number :
Provider Business Practice Location Address
First Line : 26 MCARTHUR AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-1925
Country : US
Telephone Number : 347-476-7754
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ PISHOI BAKOOM ” Practice Location

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