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Dmitri Petriashvili, PTA

NPI 1801367453 · on the registry since 2018 · sole proprietor

Practice

Address
1914 W 5th St Apt 1f
Brooklyn, NY 11223
Phone
(347) 681-5507

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-12-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York