Individual
ABDULAI JALLOH
Active
Individual
ABDULAI JALLOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
286063-1
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
432024
NY
363LA2100X
Acute Care Nurse Practitioner
F432024-01
NY
Other
Enumeration date
03/17/2008
Last updated
08/23/2021
Update your record
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