Individual
FATOUMATA KAMASO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
675 3RD AVE STE 501, NEW YORK, NY 10017-5704
(646) 292-3073
Mailing address
726 E 228TH ST APT 4C, BRONX, NY 10466-4239
(646) 243-3010
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
735017
NY
Other
Enumeration date
08/10/2017
Last updated
08/10/2017
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