Individual
ABIBA CISSE-DOUMBIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2052 TILLOTSON AVE, BRONX, NY 10475-1560
(718) 671-2100
(718) 671-1269
Mailing address
1420 GRAND CONCOURSE, #3T, BRONX, NY 10456-1110
(646) 260-1115
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
31 7046-1
NY
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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