MEDICARE: ABOUBACAR SYLLA PHARMD

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	183500000X	Pharmacist	052386	NY

General Provider Information

NPI Number	:	1184948952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABOUBACAR SYLLA PHARMD

Provider Business Mailing Address
First Line	:	101 W END AVE
Second Line	:	APT# 9F
City	:	NEW YORK
State	:	NY
Zip	:	10023-6349
Country	:	US
Telephone Number	:	917-331-5912
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 MADISON AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10029-3994
Country	:	US
Telephone Number	:	212-369-3084
Fax Number	:	212-423-3037

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

Provider Enumeration Date	:	03/22/2010
Last Update Date	:	11/22/2021

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