TEYMURAZ DATIKASHVILI

FOREST HILLS, NY
NPI1952353161
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: NY  211676)
Enumeration Date2006-05-16
Last Update Date2016-05-19
Business Address
Dr. TEYMURAZ DATIKASHVILI M.D.
10825 63RD AVE 1ST FL
FOREST HILLS, NY 11375-1342
Phone number: 718-896-2011
Mailing Address
Dr. TEYMURAZ DATIKASHVILI M.D.
1021 FORDHAM LN
WOODMERE, NY 11598-1013
Phone number:
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