Individual
BABA COULIBALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2260 WASHINGTON AVE, BRONX, NY 10457-1433
(917) 705-2892
Mailing address
2260 WASHINGTON AVE, BRONX, NY 10457-1433
(917) 705-2892
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
732710
NY
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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