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1326032673
NONNA DATIASHVILI
STATEN ISLAND, NY
NPI
1326032673
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 199877)
Enumeration Date
2005-09-01
Last Update Date
2010-11-17
Business Address
Dr. NONNA DATIASHVILI MD
227 KOCH BLVD
STATEN ISLAND, NY 10312-5416
Phone number: 718-605-7000
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Mailing Address
Dr. NONNA DATIASHVILI MD
227 KOCH BLVD
STATEN ISLAND, NY 10312-5416
Phone number: 718-605-7000
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