Provider Demographics
NPI:1750133914
Name:TESSEMA, TEMESGEN GETANEH (MD)
Entity type:Individual
Prefix:MR
First Name:TEMESGEN
Middle Name:GETANEH
Last Name:TESSEMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 FIRST AVENUE NYC H H/METROPOLITAN DEPARTMENT OF ME
Mailing Address - Street 2:
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:212-423-6771
Mailing Address - Fax:212-423-8099
Practice Address - Street 1:1901 FIRST AVENUE NYC H H/METROPOLITAN DEPARTMENT OF ME
Practice Address - Street 2:
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-423-6771
Practice Address - Fax:212-423-8099
Is Sole Proprietor?:No
Enumeration Date:2024-04-02
Last Update Date:2024-11-22
Deactivation Date:2024-11-04
Deactivation Code:
Reactivation Date:2024-11-22
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program