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Lasha Kusrashvili
NPI 1992416366 · on the registry since 2022 · sole proprietor
Practice
- Address
- 563 W 173rd St
New York, NY 10032 - Phone
- (681) 494-5641
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-12-07
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