Liana Mandjavidze
Liana Mandjavidze is a Student in an Organized Health Care Education/Training Program in Astoria, New York. Licensed in New York. Registered with an NPI since 2017.
- Licensed in
- NY
- In the registry since
- 2017
Practice location Address checks out
2840 36th StAstoria, NY 11103-4604
Phone: (347) 441-8223
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X · Licence 277486 (NY) |
|---|
Record details
| NPI number | 1609315894 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 21, 2017 |
| Last updated in NPPES | February 21, 2017 |
| Mailing address | 2840 36th St, Astoria, NY 11103-4604 |
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