Individual
ANA REVAZOVNA BICHASHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
380 KINGS HWY APT 202, BROOKLYN, NY 11223-1646
(646) 552-7943
Mailing address
380 KINGS HWY APT 202, BROOKLYN, NY 11223-1646
(646) 552-7943
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F352964-01
NY
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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