National Provider Identifier
Faustin Mbama
Faustin Mbama is listed in the NPPES registry with a primary specialty of Transportation Broker in Churchville, NY and a listed phone number of (585) 284-6394.
Profile Overview
- NPI
- 1063106037
- Provider Type
- Individual
- Primary Specialty
- Transportation Broker
- Enumeration Date
- June 05, 2023
- Last Updated
- June 05, 2023
Practice Location
- 57 Flinton Run
- Churchville, NY 14428-9651
Phone: (585) 284-6394
Specialties
- Transportation Broker (347E00000X)
- Taxi (344600000X)
Full Record
- NPI
- 1063106037
- Entity Type
- Individual
- Last Name
- Mbama
- First Name
- Faustin
- Mailing Street Address
- 57 Flinton Run
- Mailing City
- Churchville
- Mailing State
- NY
- Mailing ZIP Code
- 14428-9651
- Mailing Country
- US
- Mailing Phone
- (484) 284-6394
- Practice Street Address
- 57 Flinton Run
- Practice City
- Churchville
- Practice State
- NY
- Practice ZIP Code
- 14428-9651
- Practice Country
- US
- Practice Phone
- (585) 284-6394
- Enumeration Date
- June 05, 2023
- Last Updated
- June 05, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- June 05, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Transportation Broker (347E00000X), Taxi (344600000X)