Provider Demographics
NPI:1306152814
Name:BIZUNEH, ABIY AREFEAYINE (MD)
Entity type:Individual
Prefix:DR
First Name:ABIY
Middle Name:AREFEAYINE
Last Name:BIZUNEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8670 FRANCIS LEWIS BLVD APT A25
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11427-2809
Mailing Address - Country:US
Mailing Address - Phone:516-244-9543
Mailing Address - Fax:
Practice Address - Street 1:8670 FRANCIS LEWIS BLVD APT A25
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11427-2809
Practice Address - Country:US
Practice Address - Phone:516-244-9543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-20
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program