Organization
SESIREZI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEONA GOCHOLEISHVILI MD (PRESIDENT)
(929) 365-5628
Entity
Organization
Contact information
Practice address
1767 68TH ST APT F1, BROOKLYN, NY 11204-5006
(929) 365-5628
Mailing address
1767 68TH ST APT F1, BROOKLYN, NY 11204-5006
(929) 365-5628
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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