Individual
AISSATOU KA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1412 BROADWAY, NEW YORK, NY 10018-9228
(917) 853-2431
Mailing address
1412 BROADWAY, NEW YORK, NY 10018-9228
(917) 853-2431
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
839227
NY
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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