Registry details
Type
Individual
Primary specialty
Physician Assistant, Surgical
Enumerated
Apr 1, 2020
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 451 CLARKSON AVE | Brooklyn, NY 11203-2054 | 718-245-4687 |
| MAILING | 724 E HENRY ST | Linden, NJ 07036-2132 | 908-967-3661 |
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