Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Jun 17, 2019
License(s)
332102 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 423 E 64TH ST APT 4B | New York, NY 10065-7543 | 607-379-3064 |
| LOCATION | 550 1ST AVE | New York, NY 10016-6402 | 646-929-7870 |
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