Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Sep 5, 2022
License(s)
028845 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1825 EASTCHESTER RD | Bronx, NY 10461-2301 | 718-904-2000 |
| MAILING | 61 BROOKLYN AVE | West Hempstead, NY 11552-1314 | 516-864-1316 |
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