Individual provider · Type 1 NPI
Mariam Fofana
General Practice Registered Nurse · Queens Village, NY
NPI number
1255237137
Active
Practice location
22121 Jamaica Ave Fl 2
Queens Village, NY 11428-2015
Fax (718) 228-7597
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | N40022 (NY) |
General Practice Registered Nurse: Definition to come...
3 other providers at this address
Other general practice registered nurse providers in Queens Village
About NPI 1255237137
Mariam Fofana's National Provider Identifier is 1255237137, issued on Oct 16, 2026. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Queens Village, NY. The record was last updated on Oct 16, 2026.