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Individual

DR. YOHANNES YIMER MELAKU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(212) 241-6500
Mailing address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(212) 241-6500

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD455329
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
305954
NY
207RN0300X
Nephrology Physician
305954
NY

Other

Enumeration date
06/09/2014
Last updated
08/02/2023
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