Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 215135 | NY |
NPI | 1023041795 |
---|---|
Provider Name | Lulenesh Belayneh |
First Address | New York, NY 10029-4413 |
Second Address | New York, NY 10029-4413 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2006 |
Last Update Date | 25/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1369905 | AETNA HMO (01) | NY |
7994844 | AETNA (01) | NY |