Individual
ASSOU TRAORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 BRISTOW ST, 3G, BRONX, NY 10459-1351
(917) 916-0744
Mailing address
1415 BRISTOW ST, 3G, BRONX, NY 10459-1351
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
287581
NY
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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