MOMODOU BAH NPI 1053255539

NPI Information

  • NPI: 1053255539
  • Provider Name: MOMODOU BAH
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 4118 ROUTE 31 # 1022
    CLAY, NY
    ZIP 13041
  • Phone: (315) 288-6898

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NPI Details

Momodou Bah is a psychiatric/mental health nurse practitioner in Clay, NY. Momodou Bah NPI is 1053255539. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4118 ROUTE 31 # 1022
CLAY, NY
ZIP 13041-704
Phone: (315) 288-6898

The enumeration date for this NPI number is 4/16/2026 and was last updated on 4/16/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health408374NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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