Individual
MR. GIVI LAUREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
10440 QUEENS BLVD, FOREST HILLS, NY 11375-3658
(718) 896-4436
(718) 962-0105
Mailing address
10420 QUEENS BLVD APT 3B, FOREST HILLS, NY 11375-3602
(917) 922-6539
(718) 732-2295
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
013891-1
NY
Other
Enumeration date
10/17/2006
Last updated
09/25/2025
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