Individual
DR. COLLIN TEBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
967 NORTH BROADWAY, MEDICAL EDUCATION DEPT., YONKERS, NY 10701
(914) 798-8971
Mailing address
945 5TH AVE APT 18A, NEW YORK, NY 10021-2667
(617) 877-9395
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD2023-0646
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2020
Last updated
06/20/2023
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