Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Nov 2, 2007
License(s)
002856 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 495 N FULTON AVE | Mount Vernon, NY 10552-1909 | 914-699-2711 |
| LOCATION | 495 N FULTON AVE | Mount Vernon, NY 10552-1909 | 914-699-2711 |
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