Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Mar 1, 2006
License(s)
143487 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 121 EVERETT RD | Albany, NY 12205-1474 | 518-489-2663 |
| MAILING | 121 EVERETT RD | Albany, NY 12205-1474 | 518-489-2663 |
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