Individual provider · NPI-1

Olga Abuseridze

Home Health Aide · Brooklyn, NY

NPI number1124469390
StatusActive
Last updated in NPPESJul 16, 2013

Details

NPI
1124469390
Entity type
Individual (NPI-1)
Name
Mrs. Olga Abuseridze
Sex
Female
Sole proprietor
No
Enumeration date
Jul 16, 2013
Last updated
Jul 16, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health AideA00649NYYes

Other names

  • Olga Andzeeva (Other Name)

Practice location

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

Phone 347-549-5958

Mailing address

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

Phone 347-549-5958

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