Registry details
Type
Organization
Primary specialty
Internal Medicine
Enumerated
Feb 23, 2010
License(s)
196473 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 4029A 235TH ST | Douglaston, NY 11363-1509 | |
| LOCATION | 4029A 235TH ST | Douglaston, NY 11363-1509 | 516-620-4246 |
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