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.

Personal information

See more information about OTAR DATIASHVILI at radaris.com
Name
Address
Phone
Otar Datiashvili
227 Koch Blvd, Staten Island, NY 10312
(718) 317-7960

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