Desta, Birhane L.

Desta, Birhane L. is an sole proprietor health care provider with primary practice located at 989 Blossom Rd , Rochester NY 14610-2251. He recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as his primary health care specialty. Desta, Birhane L. can be contacted via phone (917) 686-6162.

Contact Information

Primary practice address
989 Blossom Rd Rochester NY 14610-2251
Phone: (917) 686-6162
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1679348262
LBN Legal business name Desta, Birhane L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 24th, 2023
Last updated Mar 28th, 2024 - about 8 months 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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