Provider Demographics
NPI:1811219280
Name:KINDO, ABDOULAYE
Entity Type:Individual
Prefix:
First Name:ABDOULAYE
Middle Name:
Last Name:KINDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2595 BEDFORD AVE
Mailing Address - Street 2:APT3
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-7603
Mailing Address - Country:US
Mailing Address - Phone:347-737-8888
Mailing Address - Fax:
Practice Address - Street 1:2595 BEDFORD AVE
Practice Address - Street 2:APT3
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-7603
Practice Address - Country:US
Practice Address - Phone:347-737-8888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-25
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY613257164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse