MEDICARE: MOHAMED BARRIE

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	344600000X	Taxi		NY

General Provider Information

NPI Number	:	1366845422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMED BARRIE

Provider Business Mailing Address
First Line	:	1182 E 84TH ST
Second Line	:	1
City	:	BROOKLYN
State	:	NY
Zip	:	11236-4733
Country	:	US
Telephone Number	:	917-586-3771
Fax Number	:

Provider Business Practice Location Address
First Line	:	622 CHESTER ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11212-5278
Country	:	US
Telephone Number	:	718-342-4200
Fax Number	:	718-342-0173

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

Provider Enumeration Date	:	10/03/2014
Last Update Date	:	10/03/2014

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Directions to “ MOHAMED BARRIE ” Practice Location

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