Individual
MRS. AISSATOU SOW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 E 179TH ST, APT 14 H, BRONX, NY 10457-5132
(240) 855-9568
Mailing address
750 E 179TH ST, APT # 14 H, BRONX, NY 10457-5132
(240) 855-9568
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10322082
NY
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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