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Irma Diasamidze
Family Nurse Practitioner in New Hyde Park, New York
NPI 1699393579

Irma Diasamidze is a Family Nurse Practitioner based in Bronx, NY and is specialized in Family. Irma Diasamidze practices in New Hyde Park, NY. The NPI Number for Irma Diasamidze is 1699393579 and holds a License No. 345624 (New York).

The current practice location address for Irma Diasamidze is 3000 Marcus Ave Ste 2W15, New Hyde Park, NY and can be reached out via phone at 855-201-4988.

Location: 3000 Marcus Ave Ste 2W15, New Hyde Park, NY, 10463-6255
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699393579
Provider Name
Irma Diasamidze
Credential
Provider Entity Type
Individual
Gender
Female
Address
3000 Marcus Ave Ste 2W15, New Hyde Park, NY, 10463-6255
Phone Number
855-201-4988
Fax Number
Provider Enumeration Date
07/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3000 Marcus Ave Ste 2W15
City
New Hyde Park
State
New York
Zip
11042-1005
Phone Number
855-201-4988
Fax Number
person
Provider Business Mailing Address Details
Address
3000 Marcus Ave Ste 2W15
City
New Hyde Park
State
New York
Zip
11042-1005
Phone Number
855-201-4988
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
345624 (New York)
Definition
Definition to come...
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