Ivan Javakhishvili
Ivan Javakhishvili is a Customized Equipment (DME) in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2025
Practice location Address checks out
2955 Nostrand AveBrooklyn, NY 11229-1873
Phone: (917) 833-2391
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Customized Equipment (DME) (primary) | Taxonomy 332BC3200X · Licence 2106612-DCA (NY) |
|---|
Record details
| NPI number | 1902690209 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 9, 2025 |
| Last updated in NPPES | April 9, 2025 |
| Certification date | April 9, 2025 |
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