Individual
EPHREM REGASSA TEKLEMARIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
47 NEW SCOTLAND AVENUE DEPT. OF MEDICINE, ALBANY, NY 12208
(571) 275-3256
Mailing address
47 NEW SCOTLAND AVENUE DEPT. OF MEDICINE, ALBANY, NY 12208
(571) 275-3256
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD470281
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63810
DEPARTMENT ID NUMBER
NY
Enumeration date
04/08/2016
Last updated
03/23/2021
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