Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Aug 29, 2008
License(s)
254146 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 908 NIAGARA FALLS BLVD SUITE 208 | N Tonawanda, NY 14120-2019 | |
| LOCATION | 789 PRE EMPTION RD SUITE 600 | Geneva, NY 14456-2069 | 315-230-5646 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.