| Dr. Buzz Medical, P.c. | |
|
785 Park Ave New York NY 10021-3552 | |
| (212) 288-8382 | |
| Not Available |
| Full Name | Dr. Buzz Medical, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 785 Park Ave, New York, New York |
| Authorized Official Name and Position | Iraklii Buziashvili (CEO) |
| Authorized Official Contact | 6465913310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Buzz Medical, P.c. 785 Park Ave New York NY 10021-3552 Ph: (212) 288-8382 | Dr. Buzz Medical, P.c. 785 Park Ave New York NY 10021-3552 Ph: (212) 288-8382 |
| NPI Number | 1417340597 |
|---|---|
| Provider Enumeration Date | 03/12/2015 |
| Last Update Date | 03/12/2015 |
| Medicare PECOS PAC ID | 1355660937 |
|---|---|
| Medicare Enrollment ID | O20150504000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417340597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 263080 (New York) | Primary |
| Provider Name | Iraklii Buziashvili |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1043593940 PECOS PAC ID: 3779749627 Enrollment ID: I20120723000416 |
| Provider Name | Anastasiya Khabirova |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154954220 PECOS PAC ID: 1557783743 Enrollment ID: I20200616002454 |
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