Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Apr 8, 2009
License(s)
268599 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 525 E 68TH ST # 124 | New York, NY 10065-4870 | 212-746-2941 |
| MAILING | 575 LEXINGTON AVE | New York, NY 10022-6102 |
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