Zurab Maisuradze
Case Manager/Care Coordinator in Brooklyn, NY. Individual provider (NPI-1).
NPI number1194352823
StatusActive
Last updated in NPPESMar 24, 2020
Details
- NPI
- 1194352823
- Entity type
- Individual (NPI-1)
- Name
- Zurab Maisuradze
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 24, 2020
- Certification date
- Mar 24, 2020
- Last updated
- Mar 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
2508 Hubbard St Fl 2Brooklyn, NY 11235-6223
Phone 347-526-0422
Mailing address
2508 Hubbard St Fl 2Brooklyn, NY 11235-6223
Phone 347-526-0422
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