DR. OTAR DATIASHVILI, MD
Osteopathic Medicine at Koch Blvd, Staten Island, NY

License number
New York 273598-1
Category
Osteopathic Medicine
Type
Emergency Medicine
Address
Address
227 Koch Blvd, Staten Island, NY 10312
Phone
(917) 655-6207
National Provider ID: 1083096572
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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