Provider Demographics
NPI:1023733797
Name:SALL, ZEINABOU
Entity type:Individual
Prefix:
First Name:ZEINABOU
Middle Name:
Last Name:SALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DONAYE
Other - Middle Name:MULTILINGUAL SPEECH
Other - Last Name:SERVICE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1135 PELHAM PKWY N APT 1D
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-0434
Mailing Address - Country:US
Mailing Address - Phone:917-855-5546
Mailing Address - Fax:
Practice Address - Street 1:1135 PELHAM PKWY N APT D
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-5433
Practice Address - Country:US
Practice Address - Phone:516-590-7575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-05
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035734235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7681938Medicaid