Individual provider · Type 1 NPI
Ivan Javakhishvili
Customized Equipment (DME) · Brooklyn, NY
NPI number
1902690209
Active
Practice location
2955 Nostrand Ave
Brooklyn, NY 11229-1873
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | 2106612-DCA (NY) |
Customized Equipment (DME): Definition to come...
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About NPI 1902690209
Ivan Javakhishvili's National Provider Identifier is 1902690209, issued on Apr 9, 2025. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Brooklyn, NY. The record was last updated on Apr 9, 2025.