Individual
DR. NATALIA BERIDZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
325 E MAIN ST, SUITE 120, PATCHOGUE, NY 11772-3114
(631) 654-3278
(631) 654-1474
Mailing address
325 E MAIN ST, SUITE 120, PATCHOGUE, NY 11772-3114
(631) 654-3278
(631) 654-1474
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
279540
NY
Other
Enumeration date
03/20/2012
Last updated
05/10/2016
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