Individual
YEKATERINA DAVARASHVILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
675 3RD AVE, NEW YORK, NY 10017-5704
(917) 428-7207
Mailing address
3561 VERNON BLVD, LONG ISLAND CITY, NY 11106-5122
(917) 428-7207
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
666846
NY
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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