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General NPI Number Information
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NPI Number | 1740467950
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Entity Type | Individual
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Provider Name | DR. BERHANE WORKU
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Gender | Male
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Dates
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Enumeration Date | 01/30/2008
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Last Update Date | 07/11/2023
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Provider Practice Location Address
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Address Line | 506 SIXTH STREET NEW YORK METHODIST HOSP DEPT OF CARDIOTHORACIC SURGERY
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City | BROOKLYN
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State | NY
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Zip | 11215
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Country | US
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Telephone | 212-780-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 220 E 52ND ST APT 3D
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City | NEW YORK
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State | NY
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Zip | 10022-6206
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Country | US
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Telephone | 917-797-0663
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Fax |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 244559
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 244559
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License Number State | NY
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