Individual provider · Type 1 NPI

Irma Diasamidze

Family Nurse Practitioner · New Hyde Park, NY

NPI number 1699393579 Active

Practice location

3000 Marcus Ave Ste 2W15
New Hyde Park, NY 11042-1005

Mailing address

2550 Independence Ave Apt 5H
Bronx, NY 10463-6255

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X345624 (NY)

Family Nurse Practitioner: Definition to come...

21 other providers at this address

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About NPI 1699393579

Irma Diasamidze's National Provider Identifier is 1699393579, issued on Jul 8, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in New Hyde Park, NY. The record was last updated on Jul 8, 2020.