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NPI Code Detail

MEDICARE: ABDUL AMUNIKORO

MEDICARE: ABDUL AMUNIKORO
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
1174400000XSpecialist

General Provider Information

NPI Number : 1861282790
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABDUL AMUNIKORO
Provider Business Mailing Address
First Line : 1240 BEDFORD AVE APT 4E
Second Line :
City : BROOKLYN
State : NY
Zip : 11216-1883
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3769 NOSTRAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-2041
Country : US
Telephone Number : 347-617-8532
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2025
Last Update Date : 05/12/2025

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Directions to “ ABDUL AMUNIKORO ” Practice Location

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