Individual ProviderAbibual Sileshi MezgebuStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1901 Firth Avenue Nyc H&H/Metropolitan Graduate Medical, New York City, NY 10029(212) 423-6271PECOS EnrollmentBased on the most recent information from CMS, provider Abibual Sileshi Mezgebu does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1356194930Provider TypeIndividualFull NameMezgebu, Abibual SileshiTitleDr.CredentialM.DGenderMaleSole ProprietorNoEnumeration Date4/11/2024Last Updated10/16/2024Contact InformationPractice LocationPractice Address1901 Firth Avenue Nyc H&H/Metropolitan Graduate Medical, New York City, NY 10029Phone(212) 423-6271Fax(646) 672-3034Mailing LocationMailing Address1901 Firth Avenue At 97th Street Nyc H&H/Metropolitan G, New York City, NY 10029Phone(212) 423-6271Fax(646) 672-3034Provider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer