Abiba Cisse-Doumbia

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

31 7046-1 Issued in NY

Practice address

2052 Tillotson Ave
Bronx, NY 10475-1560

Phone

(718) 671-2100

Fax

(718) 671-1269

NPI assigned

Dec 17, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1387238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1326469404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 GRAND CONCOURSE",
            "address_2": "#3T",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104561110",
            "telephone_number": "646-260-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 TILLOTSON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104751560",
            "telephone_number": "718-671-2100",
            "fax_number": "718-671-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISSE-DOUMBIA",
        "first_name": "ABIBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-17",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "31 7046-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Ciriaco
• Anthony Cirillo
• Catherine Cirillo, BS, PT
• Oscar Virgilio Cisneros Hercules, MD
• George J. Cisneros, DMD
• Assetou Cisse-Smith, NP
• Aishatou Cisse, RN
• Citadel Renal Center LLC
• Citibrites Dental Baychester LLC
• Citimed 360 PC

• Licensed Practical Nurse in Bronx, NY
• Providers in Bronx, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.