Individual
MS. KIABEH JALLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
283 W 2ND ST # 200, OSWEGO, NY 13126-3833
(315) 342-4489
Mailing address
283 W 2ND ST, OSWEGO, NY 13126-3833
(315) 342-4489
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
407077
NY
Other
Enumeration date
07/14/2025
Last updated
08/05/2025
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