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1568025690
KETEVAN AMIRKHANASHVILI
BRONX, NY
NPI
1568025690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-04-15
Last Update Date
2019-04-15
Business Address
KETEVAN AMIRKHANASHVILI MD
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 718-430-2000
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Mailing Address
KETEVAN AMIRKHANASHVILI MD
111 E 210TH ST
BRONX, NY 10467-2401
Phone number:
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