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1457570772
IRINA KHETSURIANI
BRONX, NY
NPI
1457570772
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY 238807)
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
IRINA KHETSURIANI
1000 WATERS PL
BRONX, NY 10461-2701
Phone number: 718-239-3600
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Mailing Address
IRINA KHETSURIANI
3750 HUDSON MANOR TER APT 3FE
BRONX, NY 10463-1130
Phone number:
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