Individual provider · Type 1 NPI

Diado Sow

Licensed Practical Nurse · Staten Island, NY

NPI number 1396435442 Active

Practice location

26 Dumont Ave
Staten Island, NY 10305-1450

Mailing address

2280 Grand Ave Apt 3H
Bronx, NY 10468-6978

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X345747 (NY)
Family Medicine Physician 207Q00000X345747 (NY)
Pediatrics Physician 208000000X345747 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1396435442

Diado Sow's National Provider Identifier is 1396435442, issued on May 11, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Staten Island, NY. The record was last updated on May 11, 2023.