Individual
DR. ENGRIDA SAMSON MEBRAHTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1607 WILLIAMSBRIDGE RD, BRONX, NY 10461-6201
(347) 691-3922
(347) 691-3923
Mailing address
270 RIVERSIDE DR APT 11B, NEW YORK, NY 10025-5221
(347) 886-8352
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
067119
NY
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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