Organization
53RD STREET MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ZWITIASHVILI M.D. (DIRECTOR)
(718) 492-4109
Entity
Organization
Contact information
Practice address
471 53RD ST, BROOKLYN, NY 11220-2712
(718) 492-4109
Mailing address
471 53RD ST, BROOKLYN, NY 11220-2712
(718) 492-4109
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
160217-1
NY
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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