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1548897994
MIKIYAS TESHOME DESTA
NEW YORK, NY
NPI
1548897994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-25
Last Update Date
2020-03-25
Business Address
MIKIYAS TESHOME DESTA MD
505 E 70TH ST
NEW YORK, NY 10021-4872
Phone number: 212-746-2900
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Mailing Address
MIKIYAS TESHOME DESTA MD
505 E 70TH ST
NEW YORK, NY 10021-4872
Phone number: 212-746-2900
Copy
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