Hailu, Elizabeth

Hailu, Elizabeth is an individual health care provider with primary practice located at 100 Route 59 Ste 103A, Suffern NY 10901-4927. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Hailu, Elizabeth can be contacted via phone (800) 207-5737.

Contact Information

Primary practice address
100 Route 59 Ste 103A Suffern NY 10901-4927
Fax: (610) 401-2100
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 237985 New York

Profile Details

NPI number 1750388351
LBN Legal business name Hailu, Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2005
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 1750388351 NPPES
New York MEDICAID 02100461

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