Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
Aug 1, 2011
License(s)
274564 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 200 W 57TH ST SUITE 510 | New York, NY 10019-3211 | 212-884-0444 |
| MAILING | 200 W 57TH ST SUITE 510 | New York, NY 10019-3211 | 212-444-8204 |
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