Individual
ANA TCHONISHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1734 W 4TH ST # 2R, BROOKLYN, NY 11223-1546
(646) 836-0110
Mailing address
1734 W 4TH ST # 2R, BROOKLYN, NY 11223-1546
(646) 836-0110
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CERTIFIED
NY
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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