MIKIYAS TESHOME DESTA

NEW YORK, NY
NPI1548897994
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-25
Last Update Date2020-03-25
Business Address
MIKIYAS TESHOME DESTA MD
505 E 70TH ST
NEW YORK, NY 10021-4872
Phone number: 212-746-2900
Mailing Address
MIKIYAS TESHOME DESTA MD
505 E 70TH ST
NEW YORK, NY 10021-4872
Phone number: 212-746-2900
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