Individual
BERHANE GEBRESELASSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
275 NORTH ST, HARRISON, NY 10528-1140
(914) 967-6500
Mailing address
275 NORTH ST, HARRISON, NY 10528-1140
(914) 967-6500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
707362-1
NY
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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