Individual
FATOU DIEYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
506 LENOX AVE, NEW YORK, NY 10037-1802
(212) 939-1000
Mailing address
760 MELROSE AVE APT 2N, BRONX, NY 10451-4458
(646) 633-2654
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F341638-1
NY
Other
Enumeration date
07/07/2018
Last updated
07/07/2018
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