Abebe, Mekonnen

Abebe, Mekonnen is an individual health care provider with primary practice located at 1249 5Th Ave , New York NY 10029-4413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Abebe, Mekonnen can be contacted via phone (212) 360-1000.

Contact Information

Primary practice address
1249 5Th Ave New York NY 10029-4413
Fax: (212) 360-3685
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 209744 New York

Profile Details

NPI number 1144376450
LBN Legal business name Abebe, Mekonnen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144376450 NPPES
New York MEDICAID 01909342

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