KHATIYA CHELIDZE MOON

GLEN OAKS, NY
NPI1366948291
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY  305068)
Enumeration Date2018-03-31
Last Update Date2022-06-30
Business Address
KHATIYA CHELIDZE MOON MD
7559 263RD ST
GLEN OAKS, NY 11004-1150
Phone number: 718-470-8005
Mailing Address
KHATIYA CHELIDZE MOON MD
7559 263RD ST
GLEN OAKS, NY 11004-1150
Phone number:
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