GIVI LAUREN

FOREST HILLS, NY
NPI1720168446
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: NY  013891-1)
Enumeration Date2006-10-17
Last Update Date2007-07-09
Business Address
Mr. GIVI LAUREN PT
10440 QUEENS BLVD
FOREST HILLS, NY 11375-3658
Phone number: 718-896-4436
Mailing Address
Mr. GIVI LAUREN PT
10440 QUEENS BLVD
FOREST HILLS, NY 11375-3658
Phone number: 718-896-4436
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