Individual provider · Type 1 NPI
Tsega Denneke, MD
Specialist · Maspeth, NY
NPI number
1902854698
Active
Practice location
6971 Grand Ave
Maspeth, NY 11378-1825
Fax (718) 507-2484
Mailing address
2314 College Point Blvd
College Point, NY 11356-2526
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 189235 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1902854698
Tsega Denneke, MD's National Provider Identifier is 1902854698, issued on May 4, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Maspeth, NY. The record was last updated on Mar 29, 2013.