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Organization

GRIGOL ADEISHVILI MEDICAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GRIGOL ADEISHVILI, MD (OWNER)
(347) 491-3100
Entity
Organization

Contact information

Practice address
719 OCEAN VIEW AVE, BROOKLYN, NY 11235-6317
(347) 491-3100
(347) 491-3200
Mailing address
719 OCEAN VIEW AVE, BROOKLYN, NY 11235-6317
(347) 491-3100
(347) 491-3200

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary

Other

Enumeration date
12/31/2024
Last updated
12/31/2024
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