Individual
ABDOULIE JALLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
772 E 233RD ST, BRONX, NY 10466-3172
(347) 843-0445
Mailing address
772 E 233RD ST, BRONX, NY 10466-3172
(347) 833-3220
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
339889
NY
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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