Sakina Ouedraogo Tall
Geriatric Medicine
8268 164th St
Jamaica
, New York 11432-1121
Sakina Ouedraogo Tall
Geriatric Medicine
8268 164th St
Jamaica
, New York 11432-1121
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Sakina Ouedraogo Tall
- 550 1st Ave
- New York, NY
- Zip : 10016-6402
- Phone :
Second Address
- Sakina Ouedraogo Tall
- 8268 164th St
- Jamaica, NY
- Zip : 11432-1121
- Fax : (718) 883-6330
- Phone : (718) 883-4343
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 282076 | NY |
National Provider Identifier
| NPI | 1114325701 |
|---|---|
| Provider Name | Sakina Ouedraogo Tall |
| First Address | New York, NY 10016-6402 |
| Second Address | Jamaica, NY 11432-1121 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/12/2014 |
| Last Update Date | 10/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.