Registry details
Type
Individual
Primary specialty
Anesthesiology, Pain Medicine
Enumerated
Jul 27, 2011
License(s)
265949 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 49 LAWRENCE AVE | Potsdam, NY 13676-1889 | 315-274-9075 |
| MAILING | 50 LEROY ST | Potsdam, NY 13676-1786 |
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