Provider Demographics
NPI:1275086233
Name:DARBOE, JABOU K
Entity Type:Individual
Prefix:MISS
First Name:JABOU
Middle Name:K
Last Name:DARBOE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 GRAFF AVE PH
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-3118
Mailing Address - Country:US
Mailing Address - Phone:917-825-6017
Mailing Address - Fax:
Practice Address - Street 1:630 FLUSHING AVE, 2ND FLOOR
Practice Address - Street 2:WHITE GLOVE,
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206-6858
Practice Address - Country:US
Practice Address - Phone:718-918-9610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-26
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY507630 - 1163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health