Individual
ABDULAI JALLOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-1817
(585) 275-6340
Mailing address
601 ELMWOOD AVE BOX SURG, ROCHESTER, NY 14642-8410
(585) 275-6340
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
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