Provider Demographics
NPI:1023041795
Name:BELAYNEH, LULENESH (MD)
Entity Type:Individual
Prefix:
First Name:LULENESH
Middle Name:
Last Name:BELAYNEH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LULENESH
Other - Middle Name:
Other - Last Name:BELAYNEH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1249 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-4413
Mailing Address - Country:US
Mailing Address - Phone:212-360-3903
Mailing Address - Fax:212-289-3789
Practice Address - Street 1:1249 5TH AVE
Practice Address - Street 2:TCCHCC
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-4413
Practice Address - Country:US
Practice Address - Phone:212-360-3093
Practice Address - Fax:212-289-3789
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2015-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY215135208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7994844OtherAETNA
NY1369905OtherAETNA HMO
NYA400030167Medicare PIN
NY1369905OtherAETNA HMO
NY7994844OtherAETNA