Individual provider · NPI-1

Victor Abuseridze

Home Health Aide · Brooklyn, NY

NPI number1013358654
StatusActive
Last updated in NPPESAug 9, 2013

Details

NPI
1013358654
Entity type
Individual (NPI-1)
Name
Mr. Victor Abuseridze
Sex
Male
Sole proprietor
No
Enumeration date
Jul 11, 2013
Last updated
Aug 9, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health AideHHACERTIFICATEA00483NYYes

Practice location

2145 Ocean Avenue, Apt. 9a
Brooklyn, NY 11229

Phone 347-549-6512

Mailing address

2145 Ocean Ave Apt A9
Brooklyn, NY 11229-1470

Phone 347-549-6512

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