SearchNew York163W00000X

Nana Gvasalia

NPI 1992278683 · on the registry since 2019 · sole proprietor

Practice

Address
2525 W 2nd St Apt 3d
Brooklyn, NY 11223
Phone
(917) 673-7307
Clinicians at this address
2

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-01-06

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