Provider Demographics
NPI:1336937804
Name:SOW, AMADOU YOUNOUSSA (LMT)
Entity type:Individual
Prefix:
First Name:AMADOU
Middle Name:YOUNOUSSA
Last Name:SOW
Suffix:
Gender:
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 N VILLAGE AVE STE 128
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-3763
Mailing Address - Country:US
Mailing Address - Phone:516-764-2222
Mailing Address - Fax:516-764-7314
Practice Address - Street 1:165 N VILLAGE AVE STE 128
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-3763
Practice Address - Country:US
Practice Address - Phone:516-764-2222
Practice Address - Fax:516-764-7314
Is Sole Proprietor?:No
Enumeration Date:2025-04-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030177225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist