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Individual
LIA TSVENIASHVILI
Active
Individual
LIA TSVENIASHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
223246
NY
207RI0200X
Infectious Disease Physician
223246
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02705457
—
NY
Enumeration date
07/09/2006
Last updated
10/16/2012
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