Individual
EMNET BERHANU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
058803
NY
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Enumeration date
08/04/2015
Last updated
03/17/2018
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