Individual
MBENE DIOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 WEST 148 ST APT 4A, NEW YORK, NY 10031
(212) 491-8104
Mailing address
505 W 148TH ST APT 4A, NEW YORK, NY 10031-3700
(212) 491-8104
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
327742-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12100425800
—
NY
Enumeration date
02/07/2017
Last updated
02/07/2017
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