Individual
AISSATA DIALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2917 GUNTHER AVE FL 1, BRONX, NY 10469-3317
(917) 340-4709
Mailing address
2917 GUNTHER AVE FL 1, BRONX, NY 10469-3317
(917) 340-4709
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
966607
NY
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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