Individual
GIORGI GAGNIDZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1270 E 19TH ST APT 4M, BROOKLYN, NY 11230-5407
(718) 878-4492
Mailing address
1270 E 19TH ST APT 4M, BROOKLYN, NY 11230-5407
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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