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NPI Code Detail

MEDICARE: HANNA LEGESSE YIGZAW

MEDICARE:   HANNA LEGESSE YIGZAW
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
1183500000XPharmacist28RI04071600NJ
2183500000XPharmacist067404NY

General Provider Information

NPI Number : 1952075319
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNA LEGESSE YIGZAW
Provider Business Mailing Address
First Line : 601 W 190TH ST APT 21
Second Line :
City : NEW YORK
State : NY
Zip : 10040-3247
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1961 SOUTHERN BLVD
Second Line :
City : BRONX
State : NY
Zip : 10460-1419
Country : US
Telephone Number : 718-299-0299
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2021
Last Update Date : 08/09/2021

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Directions to “ HANNA LEGESSE YIGZAW ” Practice Location

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