Individual
DR. MAMADOU DIALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
276-280 ROBINSON ST, BINGHAMTON, NY 13904-1659
(607) 722-2769
(607) 772-2095
Mailing address
276-280 ROBINSON ST, BINGHAMTON, NY 13904-1659
(607) 722-2769
(607) 772-2095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101237298
VA
207Q00000X
Family Medicine Physician
Primary
236205
NY
207Q00000X
Family Medicine Physician
236205-1
CA
Other
Enumeration date
10/31/2006
Last updated
02/27/2008
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