Individual provider · Type 1 NPI

Giorgi Derevenskikh, MD

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

NPI number 1467186494 Active

Practice location

One Brookdale Plaza, Brookdale University Hospital Medical Center
Brooklyn, NY 11212-3139

Call (718) 240-5000 Map

Fax (718) 240-6516

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 1467186494

Giorgi Derevenskikh, MD's National Provider Identifier is 1467186494, issued on Jul 14, 2022. 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 Jul 14, 2022.