DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. NONNA DATIASHVILI, MD

Active Sole Proprietor

Internal Medicine · STATEN ISLAND, NY

Registration Details

NPI Number
1326032673
Provider Type
Individual
Gender
Female
NPI Issued
Sep 1, 2005 (20.634890060691 yrs)
Last Updated
Nov 17, 2010
License
199877 (NY)
Sole Proprietor
Yes

Practice Information

Address
227 KOCH BLVD
STATEN ISLAND, NY, 103125416
Browse NY providers · Browse ZIP 10312
Phone
7186057000
Fax
7186081066
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Providers in STATEN ISLAND, NY

Name Credential NPI
DR. SALVATORE VOLPE MD 1578560561
MRS. TAMARA SIBALIC-MANDIC MD 1285635565
DEBORAH AANONSEN D.O. 1952395717
GIULIO BIANCHI MD 1447244124
EUGENE HOLUKA MD 1013902550
ALEXANDER GECHT MD 1528052057
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.