Individual provider · Type 1 NPI

Dimitri Kverenchkhiladze

Student in an Organized Health Care Education/Training Program · Brooklyn, NY

NPI number 1306693353 Active

Practice location

5800 3rd Ave
Brooklyn, NY 11220-3702

Call (347) 819-7574 Map

Mailing address

7000 Bay Pkwy Apt 3D
Brooklyn, NY 11204-5520

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1306693353

Dimitri Kverenchkhiladze's National Provider Identifier is 1306693353, issued on May 6, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brooklyn, NY. The record was last updated on May 6, 2024.