IRMA DIASAMIDZE
Nurse Practitioner - Family
Active
Individual
NPI: 1699393579
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | Yes | 345624 (NY) |
Frequently Asked Questions
NPI 1699393579 is the National Provider Identifier for IRMA DIASAMIDZE, a Nurse Practitioner - Family provider located in New Hyde Park, NY. This NPI was enumerated on July 8, 2020.
IRMA DIASAMIDZE practices at 3000 MARCUS AVE STE 2W15, New Hyde Park, NY 11042.
Quick Facts
- NPI
- 1699393579
- Type
- Individual
- Enumerated
- Jul 8, 2020
- Last Updated
- Jul 8, 2020
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