Basic Information
Provider Information
NPI: 1144486093
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DIOP
FirstName: BINETA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
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Mailing Information
Address1: 317 MAPLE AVE
Address2:  
City: UNIONDALE
State: NY
PostalCode: 115531621
CountryCode: US
TelephoneNumber: 5164830836
FaxNumber: 8552478787
Practice Location
Address1: 3000 MARCUS AVE STE 2W15
Address2:  
City: NEW HYDE PARK
State: NY
PostalCode: 110421005
CountryCode: US
TelephoneNumber: 8552014988
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/30/2008
LastUpdateDate: 10/29/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200XF305349-1NYY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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