LASHA KHETSURIANI

BRONX, NY
NPI1538284435
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY  235867)
Enumeration Date2007-03-20
Last Update Date2007-07-08
Business Address
LASHA KHETSURIANI
1500 WATERS PL
BRONX, NY 10461-2723
Phone number: 718-931-0600
Mailing Address
LASHA KHETSURIANI
3750 HUDSON MANOR TER # 3F
BRONX, NY 10463-1126
Phone number: 347-427-1718