Individual
MS. MZIA KVIRKVELIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2811 QUEENS PLZ N, 5TH FLOOR, LONG ISLAND CITY, NY 11101-4008
(718) 391-8300
Mailing address
21 HOLCOMB AVE, STAMFORD, CT 06906-2412
(917) 209-8522
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
682856
NY
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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