IRMA DIASAMIDZE

NEW HYDE PARK, NY
NPI1699393579
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  345624)
Enumeration Date2020-07-08
Last Update Date2020-07-08
Business Address
IRMA DIASAMIDZE
3000 MARCUS AVE STE 2W15
NEW HYDE PARK, NY 11042-1005
Phone number: 855-201-4988
Mailing Address
IRMA DIASAMIDZE
2550 INDEPENDENCE AVE APT 5H
BRONX, NY 10463-6255
Phone number:
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