Individual
NINO MIKABERIDZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2 5TH AVE STE 7, NEW YORK, NY 10011-8855
(646) 580-3538
(844) 841-8382
Mailing address
2 5TH AVE STE 7, NEW YORK, NY 10011-8855
(646) 580-3538
(844) 841-8382
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
275771
NY
207RR0500X
Rheumatology Physician
Primary
275771
NY
Other
Enumeration date
12/03/2013
Last updated
10/04/2022
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