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NPI Code Detail

MEDICARE: ABOUBACAR SANGARE

MEDICARE:   ABOUBACAR  SANGARE
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
1156FX1800XOptician

General Provider Information

NPI Number : 1467996439
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABOUBACAR SANGARE
Provider Business Mailing Address
First Line : 1108 RUTLAND RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11212-3646
Country : US
Telephone Number : 347-581-7212
Fax Number : 718-495-2005
Provider Business Practice Location Address
First Line : 1108 RUTLAND RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11212-3646
Country : US
Telephone Number : 347-581-7212
Fax Number : 718-495-2005
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2016
Last Update Date : 12/11/2016

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Directions to “ ABOUBACAR SANGARE ” Practice Location

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