Agladze, Mariam

Agladze, Mariam is an individual health care provider with primary practice located at 550 1St Ave , New York NY 10016-6402. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Agladze, Mariam can be contacted via phone (212) 263-6400.

Contact Information

Primary practice address
550 1St Ave New York NY 10016-6402
Phone: (212) 263-6400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 0101279837 Virginia

Profile Details

NPI number 1013578038
LBN Legal business name Agladze, Mariam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2019
Last updated Mar 12th, 2024 - about 2 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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