Individual
DR. KETEVAN BEREKASHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
211 61ST ST APT 1, BROOKLYN, NY 11220-3782
(718) 630-1270
(201) 387-1036
Mailing address
211 61 STREET, APT 1, BROOKLYN, NY 11220
(718) 630-1270
(201) 387-1036
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
286750
NY
2084V0102X
Vascular Neurology Physician
Primary
286750
NY
2085R0204X
Vascular & Interventional Radiology Physician
286750
NY
Other
Enumeration date
04/20/2012
Last updated
03/14/2019
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