Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Jun 13, 2020
License(s)
4351046912 (MI)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 28082 | New York, NY 10087-8082 | 212-987-3100 |
| LOCATION | 1000 10TH AVE | New York, NY 10019-1147 | 212-523-6121 |
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