Individual
KHADIJO IBRAHIM ABDULKADIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
129 MCLENNAN AVE # A, SYRACUSE, NY 13205-1263
(315) 664-5392
Mailing address
129 MCLENNAN AVE # A, SYRACUSE, NY 13205-1263
(315) 664-5392
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
09/26/2017
Last updated
07/21/2022
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