Maman Assiata Fane, RN
Registered Nurse in New York, NY. Individual provider (NPI-1).
NPI number1407424443
StatusActive
Last updated in NPPESJun 16, 2021
Details
- NPI
- 1407424443
- Entity type
- Individual (NPI-1)
- Name
- Maman Assiata Fane
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 16, 2021
- Certification date
- Jun 16, 2021
- Last updated
- Jun 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 738564 | NY | Yes |
Practice location
506 Lenox AveNew York, NY 10037-1802
Phone 212-939-8314
Mailing address
200 W 148th St Apt 2bNew York, NY 10039-3132
Phone 917-500-7687
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