Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Jul 17, 2006
License(s)
213944 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 325 PARK AVE | Huntington, NY 11743-2779 | 631-351-3728 |
| LOCATION | 325 PARK AVE | Huntington, NY 11743-2779 | 631-351-3728 |
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