Individual provider · Type 1 NPI

Liana Mandjavidze

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

NPI number 1609315894 Active

Practice location

2840 36th St
Astoria, NY 11103-4604

Call (347) 441-8223 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X277486 (NY)

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 1609315894

Liana Mandjavidze's National Provider Identifier is 1609315894, issued on Feb 21, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Astoria, NY. The record was last updated on Feb 21, 2017.