Individual
ADDISALEM MELAKEHIWOT REGASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1873 EASTERN PKWY, BROOKLYN, NY 11233-3214
(718) 240-8700
Mailing address
ONE BROOKDALE PLAZA, PHYSICIAN ENTERPRISE, BROOKLYN, NY 11212-4230
(718) 240-7143
(718) 240-5808
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
220574
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01801409
—
NY
Enumeration date
07/19/2006
Last updated
05/20/2020
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