Suad Jalloh
Ocularist
1100 E Boston Post Rd
Mamaroneck
, New York 10543-4114
(737) 222-6996
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About
Features
Specialties
- Ocularist
Languages spoken
- English
Location
First Address
- Suad Jalloh
- 11605 N Lamar Blvd
- Austin, TX
- Zip : 78753-2658
- Phone : (737) 222-6996
Second Address
- Suad Jalloh
- 1100 E Boston Post Rd
- Mamaroneck, NY
- Zip : 10543-4114
- Fax : (914) 698-2405
- Phone : (914) 820-9095
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 156FX1700X | Ocularist | 009645 | NY |
National Provider Identifier
| NPI | 1841855640 |
|---|---|
| Provider Name | Suad Jalloh |
| First Address | Austin, TX 78753-2658 |
| Second Address | Mamaroneck, NY 10543-4114 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/05/2019 |
| Last Update Date | 07/05/2019 |
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.