Jajji George Bako, DPM
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Johnson City, NY
NPI 1821986357 · NPPES record last updated Jun 24, 2025
Key facts
- NPI
- 1821986357
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 33-57 Harrison St
Johnson City, NY 13790-2107 - Phone
- (607) 763-6000
- NPI assigned
- Jun 24, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
33-57 Harrison St
Johnson City, NY 13790-2107
Mailing address
33-57 Harrison St
Johnson City, NY 13790-2107
Other providers in Johnson City, NY
- Larry Russell Bailey
- Kathryn Resovsky Baine
- Ata Ur Rahim Bajwa
- Maria Bajwa
- Crystal L. Baker
- Edward Balaci
- Rahal Balasuriya
- Reilley Baldwin
- Vicki Bange
- Shannon Elizabeth Baransky
All providers in Johnson City, NY · Student in an Organized Health Care Education/Training Program in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.