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Individual
MENTESINOT WOLDEYOHANNES
Active
Individual
MENTESINOT WOLDEYOHANNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MPH
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
208196
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
208196
NY
207RP1001X
Pulmonary Disease Physician
208196
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01824560
—
NY
Enumeration date
03/17/2006
Last updated
04/28/2021
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