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Rusudan Mamutchadze, M.D
NPI 1801532130 · on the registry since 2022
Practice
- Address
- 79-01 Broadway, Queens
New York, NY 11373 - Phone
- (718) 334-2156
- Fax
- (718) 334-2862
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-05-08
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