Individual
AISSATOU DIALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
728 EAST 233RD STREET, BRONX, NY 10466
(347) 899-8620
(347) 899-8621
Mailing address
2054 TILLOTSON AVE, BRONX, NY 10475-1560
(718) 671-2100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
700560
NY
164W00000X
Licensed Practical Nurse
310173
NY
Other
Enumeration date
06/13/2012
Last updated
05/09/2019
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