Individual provider · Type 1 NPI

Gvantsa Atskarunashvili

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

NPI number 1629919980 Active

Practice location

2201 Hempstead Tpke
East Meadow, NY 11554-1859

Call (516) 296-8629 Map

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 1629919980

Gvantsa Atskarunashvili's National Provider Identifier is 1629919980, issued on Apr 2, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in East Meadow, NY. The record was last updated on Apr 2, 2026.