Search › New York › 332BC3200X
Ivan Javakhishvili
NPI 1902690209 · on the registry since 2025 · sole proprietor
Practice
- Address
- 2955 Nostrand Ave
Brooklyn, NY 11229 - Phone
- (917) 833-2391
Registry record
- Primary taxonomy
- 332BC3200X
332BC3200X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York