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1538284435
LASHA KHETSURIANI
BRONX, NY
NPI
1538284435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY 235867)
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
LASHA KHETSURIANI
1500 WATERS PL
BRONX, NY 10461-2723
Phone number: 718-931-0600
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Mailing Address
LASHA KHETSURIANI
3750 HUDSON MANOR TER # 3F
BRONX, NY 10463-1126
Phone number: 347-427-1718
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