Individual provider · Type 1 NPI

Samuel Tesfaye Shiferaw, MD

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1124811070 Active

Practice location

1545 Atlantic Avenue
New York, NY 11213

Call (718) 613-4063 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124811070

Samuel Tesfaye Shiferaw, MD's National Provider Identifier is 1124811070, issued on May 23, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Sep 10, 2025.