Individual
MARIAM MACHABELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
765 GRAND ST, BROOKLYN, NY 11211-5797
(347) 987-4764
(347) 987-4769
Mailing address
765 GRAND ST, BROOKLYN, NY 11211-5797
(347) 987-4764
(347) 987-4769
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
270071
NY
Other
Enumeration date
09/05/2013
Last updated
08/22/2019
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