Individual provider · NPI-1

Abubakar Bashiru

Specialist/Technologist, Athletic Trainer · Bronx, NY

NPI number1386206308
StatusActive
Last updated in NPPESJun 29, 2019

Details

NPI
1386206308
Entity type
Individual (NPI-1)
Name
Mr. Abubakar Bashiru
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 29, 2019
Last updated
Jun 29, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer2013NCYes

Practice location

2130 Crotona Ave Apt 6b
Bronx, NY 10457-2771

Phone 718-295-6731

Mailing address

2130 Crotona Ave Apt 6b
Bronx, NY 10457-2771

Phone 347-993-6883

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