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NPI Code Detail

MEDICARE: MR. MOHAMMAD MAFRUHUL BARI

MEDICARE:  MR. MOHAMMAD MAFRUHUL BARI
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
1183500000XPharmacist043196NY

General Provider Information

NPI Number : 1306168570
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MOHAMMAD MAFRUHUL BARI
Provider Business Mailing Address
First Line : 14 VIRGINIA RD
Second Line :
City : LAKE GROVE
State : NY
Zip : 11755-2614
Country : US
Telephone Number : 631-585-7551
Fax Number :
Provider Business Practice Location Address
First Line : 14 VIRGINIA RD
Second Line :
City : LAKE GROVE
State : NY
Zip : 11755-2614
Country : US
Telephone Number : 631-585-7551
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2010
Last Update Date : 02/15/2010

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Directions to “ MR. MOHAMMAD MAFRUHUL BARI ” Practice Location

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