License holder summary

DATIASHVILI OTAR is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for DATIASHVILI OTAR is STATEN ISLAND NY. This doctor license is current. The license was granted 01/24/2014 and expired on 12/31/2015.

New York

Office of the Professions

DATIASHVILI OTAR
Medicine (Physician, Including M Ds & D Os)
License number
273598
Date granted
01/24/2014
Date expires
12/31/2015
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
STATEN ISLAND NY
nymedicine.org
ID 30122723
LAST UPDATED 2026-04-14 22:46:21 UTC

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