Individual
SEBLEWONGEL SOLOMON WONDYRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 454-8500
Mailing address
1351 ROUTE 55 STE 200, LAGRANGEVILLE, NY 12540-5128
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
286949
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04678382
—
NY
Enumeration date
04/30/2013
Last updated
11/22/2017
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