NPI 1255487153

Andrey Gvozdevskiy

Practitioner Other Technician Virginia Beach, VA

Practice location

Address: 609 Lynnhaven Pkwy, Virginia Beach, VA 23452-7336
Phone: (757) 431-6617
Mailing address: 2409 Raynor CT, Virginia Beach, VA 23456-6860

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Virginia →

Registry record

NPI: 1255487153
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.