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Archil Kasradze

NPI 1952282709 · on the registry since 2025

Practice

Address
55 Bay 34th St Apt 4c
Brooklyn, NY 11214
Phone
(575) 777-7748

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-09

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