Individual
AMINATA FOFANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 WASHINGTON AVE, BRONX, NY 10456-6619
(646) 353-8456
Mailing address
1011 WASHINGTON AVE, BRONX, NY 10456-6619
(646) 353-8456
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
781794
NY
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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