53RD STREET MEDICAL PC
Osteopathic Medicine at 53 St, Brooklyn, NY

License number
New York 160217-1
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: ROBERT ZWITIASHVILI M.D.
Title: DIRECTOR
Phone: (718) 492-4109
Address
Address
471 53Rd St, Brooklyn, NY 11220
National Provider ID: 1326326612
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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53RD STREET MEDICAL PC

471 53 St, Brooklyn, NY 11220

Industry:
Medical Doctor's Office
Doing business as:
Pena Sanchez<br>53rd Street Medical
Registration:
Jul 22, 2011
State ID:
4121723
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Owners:
Robert Zwitiashvili (Director), 471 53 St, Brooklyn, NY 11220 (Physical),Jessica Taveras (Assistant),Claudia P. Minda (Physician Assistant),...

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