Individual
ABENEZER TEDLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
(347) 613-9730
Mailing address
456 E 92ND ST, BROOKLYN, NY 11212-1008
(347) 613-9730
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/24/2022
Last updated
07/24/2022
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