Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Jan 22, 2020
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2601 OCEAN PKWY | Brooklyn, NY 11235-7745 | 718-616-3000 |
| MAILING | 2601 OCEAN PKWY | Brooklyn, NY 11235-7791 |
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