Provider Demographics
NPI:1750453122
Name:NDOYE, ASSANE (DABNM)
Entity type:Individual
Prefix:
First Name:ASSANE
Middle Name:
Last Name:NDOYE
Suffix:
Gender:M
Credentials:DABNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 DEVOL AVE.
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:MA
Mailing Address - Zip Code:02790-4741
Mailing Address - Country:US
Mailing Address - Phone:508-991-9530
Mailing Address - Fax:
Practice Address - Street 1:4 DEVOL AVE
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:MA
Practice Address - Zip Code:02790-4741
Practice Address - Country:US
Practice Address - Phone:508-991-9530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic