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1326806597
ELIZABETH YAKOBASHVILI
STATEN ISLAND, NY
NPI
1326806597
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Former Name
ELIZABETH DAVIDOV
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 031588)
Enumeration Date
2024-03-11
Last Update Date
2024-03-11
Business Address
ELIZABETH YAKOBASHVILI PA-C
355 BARD AVE
STATEN ISLAND, NY 10310-1664
Phone number: 718-818-1234
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Mailing Address
ELIZABETH YAKOBASHVILI PA-C
680 MANOR RD APT 2
STATEN ISLAND, NY 10314-4525
Phone number: 917-584-5537
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