Individual
ERMIAS GHEBREYESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
408 E 92ND ST APT 10D, NEW YORK, NY 10128-8102
(347) 738-0318
Mailing address
408 E 92ND ST APT 10D, NEW YORK, NY 10128-8102
(347) 738-0318
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
599579-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
95000510
CA
Other
Enumeration date
01/13/2016
Last updated
02/11/2022
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