Provider Demographics
NPI:1689927907
Name:NDIAYE, CHEIKHOU OUNAR (LPN)
Entity Type:Individual
Prefix:MR
First Name:CHEIKHOU
Middle Name:OUNAR
Last Name:NDIAYE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1961 GLEASON AVE
Mailing Address - Street 2:APT. 2
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10472-5129
Mailing Address - Country:US
Mailing Address - Phone:646-657-4092
Mailing Address - Fax:
Practice Address - Street 1:1961 GLEASON AVE
Practice Address - Street 2:APT. 2
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10472-5129
Practice Address - Country:US
Practice Address - Phone:646-657-4092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-24
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY311752-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse