Individual
KUMELACHEW MEKURIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-5731
Mailing address
2600 ADAM CLAYTON POWELL JR BLVD APT 4H, NEW YORK, NY 10039-0009
(408) 580-6400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
309154
NY
Other
Enumeration date
03/28/2017
Last updated
12/18/2024
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