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1700901600
MAIA MAMAMTAVRISHVILI
NEW YORK, NY
NPI
1700901600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY 234336)
Enumeration Date
2007-03-20
Last Update Date
2009-05-29
Business Address
Ms. MAIA MAMAMTAVRISHVILI M.D.
212 W 71ST ST SUITE#3
NEW YORK, NY 10023-3725
Phone number: 917-815-0434
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Mailing Address
Ms. MAIA MAMAMTAVRISHVILI M.D.
15900 RIVERSIDE DR W 3G70
NEW YORK, NY 10032-1004
Phone number: 212-543-9395
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