Provider Demographics
NPI:1285423947
Name:TRAORE, JARIATOU
Entity type:Individual
Prefix:
First Name:JARIATOU
Middle Name:
Last Name:TRAORE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1464 WATSON AVE APT 217
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10472-5398
Mailing Address - Country:US
Mailing Address - Phone:917-774-9181
Mailing Address - Fax:917-774-9181
Practice Address - Street 1:1464 WATSON AVE APT 217
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10472-5398
Practice Address - Country:US
Practice Address - Phone:917-774-9181
Practice Address - Fax:917-774-9181
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-30
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter