Fatou Agnes Tine, MD
Student in an Organized Health Care Education/Training Program in Bronx, NY. Individual provider (NPI-1).
NPI number1982308748
StatusActive
Last updated in NPPESApr 26, 2023
Details
- NPI
- 1982308748
- Entity type
- Individual (NPI-1)
- Name
- Fatou Agnes Tine
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2023
- Certification date
- Apr 26, 2023
- Last updated
- Apr 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
111 E 210th StBronx, NY 10467-2401
Phone 718-920-9823
Mailing address
111 E 210th StBronx, NY 10467-2401
Phone 646-789-2293
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