Individual
MRS. AZETTA KINDO-DIOUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2369 2ND AVE, NEW YORK, NY 10035-3108
(914) 610-8789
Mailing address
185 BROOKSIDE AVE, MOUNT VERNON, NY 10553-1347
(914) 610-8789
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F336217
NY
Other
Enumeration date
08/19/2010
Last updated
09/18/2012
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