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NPI Code Detail

MEDICARE: TOURAY BOKUM

MEDICARE:   TOURAY  BOKUM
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
1104100000XSocial Worker130479-01NY

General Provider Information

NPI Number : 1558206433
Entity Type Code : Individual
Provider Name (Legal Business Name) : TOURAY BOKUM
Provider Business Mailing Address
First Line : 81 KENILWORTH PL
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-2327
Country : US
Telephone Number : 718-501-1612
Fax Number :
Provider Business Practice Location Address
First Line : 81 KENILWORTH PL
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-2327
Country : US
Telephone Number : 718-501-1612
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2026
Last Update Date : 04/20/2026

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Directions to “ TOURAY BOKUM ” Practice Location

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