Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Jun 1, 2005
License(s)
242707 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 10 COMMERCE DR | New Rochelle, NY 10801-5214 | 914-637-2067 |
| LOCATION | 1300 MASSACHUSETTS AVE | Troy, NY 12180-1628 | 518-268-5000 |
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