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NPI Code Detail

MEDICARE: YOUSSOUF FAGBEMI

MEDICARE: YOUSSOUF FAGBEMI
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
1347E00000XTransportation Broker501282557NY
2172A00000XDriver501282557NY
3342000000XTransportation Network CompanyB03728NY

General Provider Information

NPI Number : 1912845462
Entity Type Code : Individual
Provider Name (Legal Business Name) : YOUSSOUF FAGBEMI
Provider Business Mailing Address
First Line : 19319 120TH AVE
Second Line :
City : SAINT ALBANS
State : NY
Zip : 11412-3701
Country : US
Telephone Number : 347-796-2577
Fax Number : 347-778-5933
Provider Business Practice Location Address
First Line : 473 BERGEN ST APT 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11217-4041
Country : US
Telephone Number : 347-796-2577
Fax Number : 347-778-5933
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2026
Last Update Date : 04/14/2026

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Directions to “ YOUSSOUF FAGBEMI ” Practice Location

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