Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Jun 27, 2005
License(s)
A175972 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 300 COMMUNITY DR | Manhasset, NY 11030-3816 | 516-562-4887 |
| MAILING | 68 S SERVICE RD SUITE 350 | Melville, NY 11747-2354 | 516-945-3000 |
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