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Individual

AMINATA DIARRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12510 QUEENS BLVD STE 4, KEW GARDENS, NY 11415-1522
(718) 459-5592
(718) 459-6047
Mailing address
12510 QUEENS BLVD STE 4, KEW GARDENS, NY 11415-1522
(718) 459-5592
(718) 459-6047

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
353398-01
NY

Other

Enumeration date
02/26/2026
Last updated
02/26/2026
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