Individual
DR. GETACHEW FELEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18 BLOCK TER, FARMINGDALE, NY 11735-6012
(516) 209-1013
Mailing address
18 BLOCK TER, FARMINGDALE, NY 11735-6012
(516) 209-1013
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
179956
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01215223
—
NY
01
—
11455455
CAQH
NY
Enumeration date
03/16/2006
Last updated
10/25/2016
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