TAMARA BENYASHVILI MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****25

NOT RENEWED

N

MD

TAMARA

BENYASHVILI

TAMARA BENYASHVILI MD

04/22/2014

07/14/2017

09/30/2020

NYC

NY

10001

COOK

PRACTITIONER

II III IV V

N

01/14/2021