Active NPI
Nassou Koulibaly
- Registered Nurse
- Long Island City, NY
National Provider Identifier
1750293569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 952149-01
- Practice address
- 2811 Queens PLZ N FL 5
Long Island City, NY 11101-4172 - Phone
- (718) 391-8300
- NPI assigned
- Sep 18, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 952149-01 | NY | Primary |
Addresses
Primary practice location
2811 Queens PLZ N FL 5
Long Island City, NY 11101-4172
Mailing address
1498 E 172ND St
Bronx, NY 10472-2102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1750293569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1498 E 172ND ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104722102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 QUEENS PLZ N FL 5",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111014172",
"telephone_number": "718-391-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOULIBALY",
"first_name": "NASSOU",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-18",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "952149-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Long Island City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.