Individual
MR. FASSIL TEFFERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2426 EASTCHESTER RD, #101, BRONX, NY 10469
(718) 708-4726
(718) 708-7599
Mailing address
2426 EASTCHESTER RD, #101, BRONX, NY 10469-5947
(718) 708-4726
(718) 708-7599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
196877
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01527384
—
NY
Enumeration date
10/09/2005
Last updated
11/18/2011
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