Individual
ALMOUSTAPHA NIENTAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
506 MALCOLM X BLVD, NEW YORK, NY 10037-1802
(212) 939-1000
Mailing address
2121 FREDERICK DOUGLASS BLVD APT 5A, NEW YORK, NY 10026-2359
(646) 732-9844
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
018588
NY
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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