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MR. ALPHA DIALLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(917) 370-0745
Mailing address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(917) 370-0745

Taxonomy

Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
686891
NY
363LF0000X
Family Nurse Practitioner
Primary
343331
NY

Other

Enumeration date
08/01/2018
Last updated
08/01/2018
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