MARIAMI BASILASHVILI
Individual Provider (NPI-1)
Active
Home Health Aide
Provider Information
- NPI Number
1851152144- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 130 AVENUE P APT 2L, BROOKLYN, NY, 112046335
- Phone
- (347) 793-2693
Specialties & Taxonomies
Home Health Aide
Primary License: NY #01298850