Individual
SUAD JALLOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 E BOSTON POST RD, MAMARONECK, NY 10543-4114
(914) 820-9095
(914) 698-2405
Mailing address
11605 N LAMAR BLVD, AUSTIN, TX 78753-2658
(737) 222-6996
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
009645
NY
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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