Registry details
Type
Individual
Primary specialty
Internal Medicine, Hematology & Oncology
Enumerated
Apr 7, 2006
License(s)
142238 (NY), 142238 (NY), 142238 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1775 GRAND CONCOURSE FL 1 | Bronx, NY 10453-8202 | 718-992-7669 |
| MAILING | 1276 FULTON AVE | Bronx, NY 10456-3467 | 718-992-7669 |
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