BERHANE ADHANOM GEBRESELASIE

MARY IMOGENE BASSETT HOSPITAL

Dr BERHANE ADHANOM GEBRESELASIE is a male medical professional, specializing in Internal Medicine. He graduated in 2003.

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MARY IMOGENE BASSETT HOSPITAL

178 GRANDVIEW DR
COBLESKILL
NY
120435144

Tel: 5182543456

BERHANE ADHANOM GEBRESELASIE Information

Npi 1164775433
Pac Id 1759696974
Professional Enrollment Id I20160727001357
Last Name GEBRESELASIE
First Name BERHANE
Middle Name ADHANOM
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2003
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1 HOSPITALIST
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties HOSPITALIST
Organization Legal Name MARY IMOGENE BASSETT HOSPITAL
Group Practice Pac Id 3779488325
Number Of Group Practice Members 559
Line 1 Street Address 178 GRANDVIEW DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City COBLESKILL
State NY
Zip Code 120435144
Phone Number 5182543456
Hospital Affiliation Ccn 1 330085
Hospital Affiliation Lbn 1 AURELIA OSBORN FOX MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2 330136
Hospital Affiliation Lbn 2 BASSETT HEALTHCARE
Hospital Affiliation Ccn 3 390079
Hospital Affiliation Lbn 3 ROBERT PACKER HOSPITAL
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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