Provider Demographics
NPI:1780569616
Name:ABDOULAYE, AISSATA (CLC)
Entity type:Individual
Prefix:
First Name:AISSATA
Middle Name:
Last Name:ABDOULAYE
Suffix:
Gender:F
Credentials:CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 E 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:ROSELLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07203-2143
Mailing Address - Country:US
Mailing Address - Phone:646-326-3952
Mailing Address - Fax:
Practice Address - Street 1:3512 CHURCH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2804
Practice Address - Country:US
Practice Address - Phone:929-399-8070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty