Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 237606 | NY |
Y | 111NI0900X | Internist | 237606 | NY |
N | 207RC0200X | Critical Care Medicine | 237606 | NY |
N | 207RP1001X | Pulmonary Disease | 237606 | NY |
N | 207RS0012X | Sleep Medicine | 237606 | NY |
NPI | 1023063898 |
---|---|
Provider Name | Adey Tsegaye |
First Address | Bronx, NY 10462-3388 |
Second Address | Bronx, NY 10457-2545 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 12/02/2009 |