Individual
AISSA SOULEY DOUNDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
2015 GRAND CONCOURSE, BRONX, NY 10453
(718) 299-7295
Mailing address
3198 GRAND CONCOURSE, BRONX, NY 10458-1000
(718) 618-0401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023350
NY
363A00000X
Physician Assistant
023350
—
Other
Enumeration date
03/08/2019
Last updated
03/25/2019
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