Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Apr 8, 2009
License(s)
268876-1 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 435 EAST 70TH STREET APARTMENT 28C | New York, NY 10021 | |
| LOCATION | 2201 HEMPSTEAD TPKE | East Meadow, NY 11554-1859 | 516-572-6813 |
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