Individual provider · Type 1 NPI

Ekaterina Berulava, DO

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

NPI number 1649010489 Active

Practice location

1000 Montauk Hwy
West Islip, NY 11795-4927

Call (631) 376-4163 Map

Fax (631) 376-3420

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 1649010489

Ekaterina Berulava, DO's National Provider Identifier is 1649010489, issued on May 29, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in West Islip, NY. The record was last updated on Jun 1, 2024.