Organization
HADIATOU DIALLO'S PRIMARY & MENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBRAHIMA DIALLO NP (OWNER)
(201) 618-6623
Entity
Organization
Contact information
Practice address
97 NEWKIRK ST APT 228-229, JERSEY CITY, NJ 07306-3021
(201) 618-6623
Mailing address
155 WILLOWBROOK BLVD STE 110, WAYNE, NJ 07470-7033
(201) 618-6623
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/16/2024
Last updated
02/24/2026
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