MARIAM M KIRVALIDZE

EAST SETAUKET, NY
NPI1508353517
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  310737)
Enumeration Date2018-04-16
Last Update Date2022-09-25
Business Address
MARIAM M KIRVALIDZE DO
181 N BELLE MEAD RD STE 2
EAST SETAUKET, NY 11733-3495
Phone number: 631-444-5858
Mailing Address
MARIAM M KIRVALIDZE DO
1033 NORTHERN BLVD
ROSLYN, NY 11576-1502
Phone number: 516-473-0782
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