Yenukashvili, Nana

Yenukashvili, Nana is an individual health care provider with primary practice located at 300 Winston Dr Apt 2911 , Cliffside Park NJ 07010-3232. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Yenukashvili, Nana can be contacted via phone (201) 224-5755.

Contact Information

Primary practice address
300 Winston Dr Apt 2911 Cliffside Park NJ 07010-3232
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA08225400 New Jersey

Profile Details

NPI number 1447460712
LBN Legal business name Yenukashvili, Nana
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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