Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
May 27, 2024
License(s)
F354164-01 (NY), F354164-01 (NY), F354164-01 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 330 E 52ND ST APT 31 | New York, NY 10022-6719 | 917-549-6766 |
| LOCATION | 550 1ST AVE | New York, NY 10016-6402 | 646-929-7800 |
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