MEDICARE: MOHAMED TOURE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	347C00000X	Private Vehicle
2	343900000X	Non-emergency Medical Transport (VAN)
3	344600000X	Taxi

General Provider Information

NPI Number	:	1548058340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMED TOURE

Provider Business Mailing Address
First Line	:	415 E 157TH ST APT 7B
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10451-4549
Country	:	US
Telephone Number	:	917-703-1288
Fax Number	:

Provider Business Practice Location Address
First Line	:	415 E 157TH ST APT 7B
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10451-4549
Country	:	US
Telephone Number	:	917-703-1288
Fax Number	:

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

Provider Enumeration Date	:	04/30/2025
Last Update Date	:	04/30/2025

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Directions to “ MOHAMED TOURE ” Practice Location

Language	Start Address	Practice Location

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