National Provider Identifier
Beniam R Ghebrezgabiher
Beniam R Ghebrezgabiher is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 473-2200.
Profile Overview
- NPI
- 1235805565
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- August 17, 2021
- Last Updated
- July 17, 2023
Practice Location
- 1000 South Ave
- Rochester, NY 14620-2733
Phone: (585) 473-2200
Specialties
- Physician Assistant (363A00000X)
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1235805565
- Entity Type
- Individual
- Last Name
- Ghebrezgabiher
- First Name
- Beniam
- Middle Name
- R
- Mailing Street Address
- 1000 South Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-2733
- Mailing Country
- US
- Mailing Phone
- (585) 473-2200
- Practice Street Address
- 1000 South Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2733
- Practice Country
- US
- Practice Phone
- (585) 473-2200
- Enumeration Date
- August 17, 2021
- Last Updated
- July 17, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 17, 2021
- Taxonomies
- Physician Assistant (363A00000X), Nurse Practitioner (363L00000X)