Registry details
Type
Individual
Primary specialty
Family Medicine
Enumerated
Jul 30, 2019
License(s)
344470 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 31 ARNOT RD | Horseheads, NY 14845-8533 | 607-795-5100 |
| MAILING | 1 GUTHRIE SQ | Sayre, PA 18840-1625 | 570-888-8858 |
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