Individual provider · Type 1 NPI

Nikolozi Bostashvili

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

NPI number 1487385795 Active

Practice location

234 E 149th St
Bronx, NY 10451-5504

Call (718) 579-6840 Map

Mailing address

6 E Washington Ave
Elmwood Park, NJ 07407-2804

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 1487385795

Nikolozi Bostashvili's National Provider Identifier is 1487385795, issued on Jun 19, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Apr 12, 2025.