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General NPI Number Information
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NPI Number | 1417340597
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Entity Type | Organization
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Legal Business Name | DR. BUZZ MEDICAL, P.C.
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Dates
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Enumeration Date | 03/12/2015
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 2952 BRIGHTON 3RD ST STE 401
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City | BROOKLYN
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State | NY
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Zip | 11235-7079
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Country | US
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Telephone | 718-975-3833
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Fax | 718-975-3836
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Provider Business Mailing Address
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Address Line | 2952 BRIGHTON 3RD ST STE 401
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City | BROOKLYN
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State | NY
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Zip | 11235-7079
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Country | US
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Telephone | 718-975-3833
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Fax | 718-975-3836
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Authorized Official
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Title or Position | CEO
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Name | DR. IRAKLII BUZIASHVILI
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Credential | M.D.
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Telephone | 646-591-3310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 263080
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License Number State | NY
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