Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Mar 25, 2019
License(s)
310947 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 8900 VAN WYCK EXPY | Richmond Hill, NY 11418-2832 | 718-206-6000 |
| MAILING | 8900 VAN WYCK EXPY | Richmond Hill, NY 11418-2832 | 718-206-6000 |
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