Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Apr 3, 2016
License(s)
308853 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 622 W 168TH ST | New York, NY 10032-3720 | 212-305-1948 |
| MAILING | 1000 10TH AVE | New York, NY 10019-1147 | 212-523-4000 |
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