KHVICHA BERULAVA

MINEOLA, NY
NPI1386500015
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
(Licence: NY  2127903-DCWP)
Enumeration Date2025-12-26
Last Update Date2025-12-26
Business Address
KHVICHA BERULAVA
1539 FRANKLIN AVE RM 301
MINEOLA, NY 11501-4835
Phone number: 347-781-6115
Mailing Address
KHVICHA BERULAVA
1539 FRANKLIN AVE RM 301
MINEOLA, NY 11501-4835
Phone number: 347-781-6115
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