MS. Irma Khurtsilava, MS ED

NPI #1164785044 in Ridgewood, New York

Provider Information

NPI Number
1164785044
Entity Type
Individual
Name
MS. Irma Khurtsilava, MS ED
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Early Intervention Provider Agency
Credential
MS ED
Enumeration Date
Jun 16, 2012
Last Updated
Jun 16, 2012

Practice Location

Address
2028 GATES AVE
Address 2
APT. 1R
ZIP Code
11385-3003
Phone
(646) 239-3131

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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