Individual
MR. ABE ADJIASHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(171) 878-0770
Mailing address
11045 QUEENS BLVD APT 217, FOREST HILLS, NY 11375-5519
(917) 757-4477
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
013647
NY
Other
Enumeration date
11/30/2009
Last updated
04/27/2023
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