Individual
BENIAM R GHEBREZGABIHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 SOUTH AVE, ROCHESTER, NY 14620-2733
(585) 473-2200
Mailing address
1000 SOUTH AVE, ROCHESTER, NY 14620-2733
(585) 473-2200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
363L00000X
Nurse Practitioner
27377
NY
Other
Enumeration date
08/17/2021
Last updated
07/17/2023
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