Individual
SANDRO MIZHQUIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
802 44TH ST, BROOKLYN, NY 11220-1634
(718) 633-4400
(718) 437-7705
Mailing address
802 44TH ST, BROOKLYN, NY 11220-1634
(718) 633-4400
(718) 437-7705
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
B02905
NY
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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