Individual
IRINA CHIKVASHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
230 N BROAD ST, PHILADELPHIA, PA 19102-1121
(215) 831-4819
Mailing address
75-59 263RD STREET, ACP BUILDING, GLEN OAKS, NY 11004
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
287965
NY
Other
Enumeration date
06/12/2014
Last updated
12/13/2018
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