Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 250643 | NY |
NPI | 1114194008 |
---|---|
Provider Name | Dr. Duretti Teferi Fufa |
First Address | New York, NY 10087-9234 |
Second Address | New York, NY 10021-4823 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2008 |
Last Update Date | 21/12/2020 |