Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Aug 3, 2006
License(s)
332791 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 301 E 17TH ST | New York, NY 10003-3804 | 646-895-1025 |
| MAILING | 301 E 17TH ST | New York, NY 10003-3804 | 212-598-6000 |
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