Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Feb 4, 2011
License(s)
182427 (NY), 182427 (NY), 182427 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | P.O. BOX 820 | Montour Falls, NY 14865 | |
| LOCATION | 4588 STR 224 820 MONTOUR FALLS P8 | Montour Falls, NY 14865 | 832-352-6269 |
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