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DR. BETHEL TADESSE MANDEFRO
NPI 1295671659
Student in an Organized Health Care Education/Training Program in Bronx, NY

Active since April 28, 2026
4422 3RD AVE # 10457, BRONX, NY 10457(718) 960-6202 Get Directions Write a Review

NPPES record last updated: May 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 25, 2026, Apr 28, 2026 (2 updates tracked since 2026).

About Dr. Bethel Tadesse Mandefro NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BETHEL TADESSE MANDEFRO (NPI 1295671659) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1295671659
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. BETHEL TADESSE MANDEFRO
Location Address4422 3RD AVE # 10457Bronx, NY 10457-2545
Mailing Address4422 3rd Ave # 10457Bronx, NY 10457-2545 · (718) 960-6202
Phone(718) 960-6202
Sole ProprietorYes
Enumeration DateApril 28, 2026
Last NPPES UpdateMay 25, 20262 updates tracked since enumeration
NPPES CertifiedMay 25, 2026
✔ NPI 1295671659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.
4422 3RD AVE # 10457, Bronx, NY 10457
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOHAMED YASER ELGHRABAWY
Student in an Organized Health Care Education/Training Program
4422 3RD AVE # 10457
BRONX, NY 10457
Bronx County (718) 960-6202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethel Mandefro's NPI number?

The NPI number for Bethel Mandefro is 1295671659. It was assigned to this individual provider in the NPPES registry on April 28, 2026.

Where is Bethel Mandefro located?

Bethel Mandefro practices at 4422 3rd Ave # 10457, Bronx, NY 10457. The listed phone number is (718) 960-6202.

What is Bethel Mandefro's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Bethel Mandefro was last updated on May 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.