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NPI Code Detail

MEDICARE: LULENESH BELAYNEH MD

MEDICARE: LULENESH BELAYNEH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician215135NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17994844OTHERNYAETNA
21369905OTHERNYAETNA HMO

General Provider Information

NPI Number : 1023041795
Entity Type Code : Individual
Provider Name (Legal Business Name) : LULENESH BELAYNEH MD
Provider Business Mailing Address
First Line : 1249 5TH AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10029-4413
Country : US
Telephone Number : 212-360-3903
Fax Number : 212-289-3789
Provider Business Practice Location Address
First Line : 1249 5TH AVE
Second Line : TCCHCC
City : NEW YORK
State : NY
Zip : 10029-4413
Country : US
Telephone Number : 212-360-3093
Fax Number : 212-289-3789
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2006
Last Update Date : 09/25/2015

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