Individual
MARINA BUKHRASHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4915 10TH AVE, BROOKLYN, NY 11219-3301
(718) 851-3700
Mailing address
351 W 24TH ST APT 13G, NEW YORK, NY 10011-1514
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F308617-1
NY
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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