Individual
DR. THEODROS SEYOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
295 FLATBUSH AVENUE EXT FL 4, BROOKLYN, NY 11201-3001
(718) 249-1425
(718) 249-1488
Mailing address
4209 28TH ST # CN-48, LONG ISLAND CITY, NY 11101-4130
(347) 396-6299
(347) 396-6367
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
25MA10075600
NJ
2083P0901X
Public Health & General Preventive Medicine Physician
286523
NY
Other
Enumeration date
06/25/2010
Last updated
09/25/2024
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