Individual
ARCHIL KASRADZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 BAY 34TH ST APT 4C, BROOKLYN, NY 11214-4241
(575) 777-7748
Mailing address
55 BAY 34TH ST APT 4C, BROOKLYN, NY 11214-4241
(575) 777-7748
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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