Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Mar 23, 2007
License(s)
332955 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 16 S DELAWARE DR | Nyack, NY 10960-2312 | 845-358-1995 |
| LOCATION | 177 FORT WASHINGTON AVE # 8HN-105 MILSTEIN HOSPITAL BUILDING | New York, NY 10032-3733 | 212-305-4555 |
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