Individual
GRIGOL ADEISHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-3257
(718) 616-3260
Mailing address
100 OCEANA DR W APT 2I, BROOKLYN, NY 11235-6651
(646) 321-3112
(347) 587-1559
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
270389
NY
Other
Enumeration date
04/13/2009
Last updated
10/14/2013
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