MAIA MAMAMTAVRISHVILI

NEW YORK, NY
NPI1700901600
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NY  234336)
Enumeration Date2007-03-20
Last Update Date2009-05-29
Business Address
Ms. MAIA MAMAMTAVRISHVILI M.D.
212 W 71ST ST SUITE#3
NEW YORK, NY 10023-3725
Phone number: 917-815-0434
Mailing Address
Ms. MAIA MAMAMTAVRISHVILI M.D.
15900 RIVERSIDE DR W 3G70
NEW YORK, NY 10032-1004
Phone number: 212-543-9395