MEDICARE: DEBORAH BAMFO

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	101YM0800X	Mental Health Counselor	094184	NY

General Provider Information

NPI Number	:	1023961208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH BAMFO

Provider Business Mailing Address
First Line	:	100 DARROW PL APT 9G
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10475-1862
Country	:	US
Telephone Number	:	917-426-7477
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 300196
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-0196
Country	:	US
Telephone Number	:	917-426-7477
Fax Number	:

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

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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