Healthcare Provider Details

I. General information

NPI: 1457265464
Provider Name (Legal Business Name): FATIMATOU ZAHRA NDIAYE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

641 E 224TH ST
BRONX NY
10466-4003
US

IV. Provider business mailing address

641 E 224TH ST
BRONX NY
10466-4003
US

V. Phone/Fax

Practice location:
  • Phone: 347-744-1220
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number996242-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: