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NPI Code Detail

MEDICARE: WORKU B ZEWDU M.D.

MEDICARE:   WORKU B ZEWDU  M.D.
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
1204C00000XSports Medicine (Neuromusculoskeletal Medicine) Physician216820NY

General Provider Information

NPI Number : 1982649034
Entity Type Code : Individual
Provider Name (Legal Business Name) : WORKU B ZEWDU M.D.
Provider Business Mailing Address
First Line : 100 W KINGSBRIDGE RD
Second Line : MEDICAL DEPT
City : BRONX
State : NY
Zip : 10468-3961
Country : US
Telephone Number : 718-410-1436
Fax Number : 718-579-1192
Provider Business Practice Location Address
First Line : 100 W KINGSBRIDGE RD
Second Line : MEDICAL DEPT
City : BRONX
State : NY
Zip : 10468-3961
Country : US
Telephone Number : 718-410-1436
Fax Number : 718-579-1192
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2006
Last Update Date : 12/02/2014

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Directions to “ WORKU B ZEWDU M.D.” Practice Location

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