Individual
AISATOU DOUMBOUYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2811 QUEENS PLZ N, LONG ISLAND CITY, NY 11101-4172
(718) 391-8300
Mailing address
2385 3RD AVE APT 1101, BRONX, NY 10451-2160
(347) 798-6096
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
789617-01
NY
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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