Mariam M Kirvalidze, DO
NPI #1508353517 in East Setauket, New York
Provider Information
- NPI Number
- 1508353517
- Entity Type
- Individual
- Name
- Mariam M Kirvalidze, DO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Credential
- DO
- Enumeration Date
- Apr 16, 2018
- Last Updated
- Sep 25, 2022
Practice Location
- Address
- 181 N BELLE MEAD RD STE 2
- City
- East Setauket
- State
- New York
- ZIP Code
- 11733-3495
- Phone
- (631) 444-5858
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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