Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Jul 19, 2018
License(s)
022281 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 329 GLENMONT RD | Glenmont, NY 12077 | 518-264-9000 |
| MAILING | 43 NEW SCOTLAND AVE | Albany, NY 12208-3412 | 518-262-3125 |
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