Individual
DAHANATOU GADAOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
631 E 220TH ST APT 4E, BRONX, NY 10467-5352
(917) 650-5457
Mailing address
631 E 220TH ST APT 4E, BRONX, NY 10467-5352
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
992530
NY
Other
Enumeration date
10/17/2023
Last updated
09/18/2025
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