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General NPI Number Information
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NPI Number | 1023041795
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Entity Type | Individual
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Provider Name | LULENESH BELAYNEH MD
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Gender | Female
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 09/25/2015
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Provider Practice Location Address
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Address Line | 1249 5TH AVE TCCHCC
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City | NEW YORK
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State | NY
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Zip | 10029-4413
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Country | US
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Telephone | 212-360-3093
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Fax | 212-289-3789
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Provider Business Mailing Address
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Address Line | 1249 5TH AVE
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City | NEW YORK
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State | NY
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Zip | 10029-4413
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Country | US
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Telephone | 212-360-3903
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Fax | 212-289-3789
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 215135
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License Number State | NY
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