Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Oct 26, 2006
License(s)
229634 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX A | North Bellmore, NY 11710-0745 | 800-720-1664 |
| LOCATION | 2475 ST. RAYMONDS AVE | Bronx, NY 10461-3124 | 718-730-7300 |
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