Registry details
Type
Individual
Primary specialty
Physician Assistant, Surgical
Enumerated
Apr 30, 2008
License(s)
009722 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2222 BAY AVE | Brooklyn, NY 11210-5137 | 718-501-4107 |
| LOCATION | 2222 BAY AVE | Brooklyn, NY 11210-5137 | 718-501-4107 |
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