| Moussa Diallo, | |
|
3663 Harper Ave Ph, Bronx, NY 10466-5906 | |
| (646) 377-6786 | |
| Not Available |
| Full Name | Moussa Diallo |
|---|---|
| Gender | Male |
| Speciality | Licensed Vocational Nurse |
| Location | 3663 Harper Ave Ph, Bronx, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144666728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 312861 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Moussa Diallo, 3663 Harper Ave Ph, Bronx, NY 10466-5906 Ph: (646) 377-6786 | Moussa Diallo, 3663 Harper Ave Ph, Bronx, NY 10466-5906 Ph: (646) 377-6786 |
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