MR. SOUMANA MOUNKAILA NPI 1063950632

NPI Information

  • NPI: 1063950632
  • Provider Name: MR. SOUMANA MOUNKAILA
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1975 BIRCHALL AVE
    APT 8E
    BRONX, NY
    ZIP 10462
  • Phone: (646) 316-0778

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NPI Details

MR. Soumana Mounkaila is a family nurse practitioner in Bronx, NY. MR. Soumana Mounkaila NPI is 1063950632. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1975 BIRCHALL AVE
APT 8E
BRONX, NY
ZIP 10462-890
Phone: (646) 316-0778

The NPI 1063950632 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/3/2017 and was last updated on 2/3/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyF339568-1NYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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