TADELE DEMISSE


Address: 1044 State St, Schenectady, NY 12307-1508
Phone: 2672056213

TADELE DEMISSE (NPI# 1942866280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942866280
Entity Type Individual
Full Name TADELE DEMISSE
Practice Address 1044 State St
Schenectady
NY 12307-1508
Mailing Address 544 Foothill Rd
Bridgewater
NJ 08807-2139
Practice Telephone 2672056213
Mailing Telephone 2672056213
Enumeration Date 2019-05-13
Last Update Date 2019-05-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1044 STATE ST
City SCHENECTADY
State NY
Zip Code 12307-1508

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497751010 Edwin Robert Windle Internal Medicine 1044 State St, Schenectady, NY 12307-1508 2005-06-28
1508492901 Prajna Yerusu Dentist 1044 State St, Schenectady, NY 12307-1508 2020-03-17
1770114803 Erin E Bellinger-horton Dental Hygienist 1044 State St, Schenectady, NY 12307-1508 2020-01-28
1538705819 Schenectady Family Health Services, Inc. Clinic/Center 1044 State St, Schenectady, NY 12307-1508 2019-11-21
1467010033 Linda Xuan West Nurse Practitioner 1044 State St, Schenectady, NY 12307-1508 2019-05-30
1417412230 See Seo Pharmacist 1044 State St, Schenectady, NY 12307-1508 2019-02-06
1053894717 Elizabeth Anne Weissbart Nurse Practitioner 1044 State St, Schenectady, NY 12307-1508 2018-09-10
1003398033 Miranda A Savignano Dental Hygienist 1044 State St, Schenectady, NY 12307 2018-09-06
1578049334 Terry J Kallner Jr. Nurse Practitioner 1044 State St, Schenectady, NY 12307-1508 2018-07-16
1780170324 Allen Chen Student in an Organized Health Care Education/Training Program 1044 State St, Schenectady, NY 12307-1508 2018-07-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417464322 Emily Marsh Social Worker 738 State St, Schenectady, NY 12307 2018-01-02
1982820213 Mohawk Opportunities, Inc. Community Based Residential Treatment Facility, Mental Illness 201 Nott Terrace, Schenectady, NY 12307 2007-04-17
1194819854 Carver Community Center of Schenectady, Inc. Counselor 846 State Street, Schenectady, NY 12307 2006-10-03
1366764755 David A Geloso Pharmacist 1044 State Street, Schenectady, NY 12307-0000 2010-02-25
1881071819 Bethesda House of Schenectady, Inc. Psychologist 834 State St, Schenectady, NY 12307-1202 2015-04-28
1326106956 Thomas John Kuettel Family Medicine 846 State St, Schenectady, NY 12307-1202 2006-12-05
1265929210 Kelly Noble Registered Nurse 738 State St, Schenectady, NY 12307-1206 2018-04-16
1518465251 Tricia Brownell Rehabilitation Counselor 738 State St, Schenectady, NY 12307-1206 2018-01-29
1144728932 Amy Michelle Della Rocco Rehabilitation Counselor 738 State St, Schenectady, NY 12307-1206 2018-01-26
1265412621 Schenectady Ambulance Service, Inc. Ambulance 793 State St, Schenectady, NY 12307-1209 2006-01-20
Find all providers in zip 12307

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922614338 Tram Nguyen Student in an Organized Health Care Education/Training Program 1126 Mcclellan St, Schenectady, NY 12309-5628 2020-09-21
1801440540 Angelique Parks Student in an Organized Health Care Education/Training Program 624 Mcclellan St Ste 204, Schenectady, NY 12304-1020 2019-07-31
1265823496 Kristen Miller Student in an Organized Health Care Education/Training Program 6 Princeton St, Schenectady, NY 12304-3111 2015-02-10
1265794366 Penelope Huggins Cuevas Student in an Organized Health Care Education/Training Program 13 Talon Dr, Schenectady, NY 12309-1840 2012-06-13
1043833106 Waleed Ijaz Student in an Organized Health Care Education/Training Program 624 Mcclellan St Ste 101, Schenectady, NY 12304-1020 2020-05-24
1497378558 Rebecca Hublall Student in an Organized Health Care Education/Training Program 624 Mcclellan St Ste 101, Schenectady, NY 12304-1020 2020-05-24
1215550371 Lanice Thomas Student in an Organized Health Care Education/Training Program 624 Mcclellan St Ste 101, Schenectady, NY 12304-1020 2020-05-24
1225651383 Kadeeja Fredankey Student in an Organized Health Care Education/Training Program 624 Mcclellan St Ste 101, Schenectady, NY 12304-1020 2020-05-24
1124641287 Aliah Brianna Joslin Student in an Organized Health Care Education/Training Program 624 Mcclellan St Ste 101, Schenectady, NY 12304-1020 2020-05-24
1942823000 Gregory Drew Student in an Organized Health Care Education/Training Program 624 Mcclellan St Ste 101, Schenectady, NY 12304-1020 2020-05-24
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Competitor

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City SCHENECTADY
Zip Code 12307

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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