Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Mar 22, 2020
License(s)
336145 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1000 10TH AVE | New York, NY 10019-1147 | 212-523-8442 |
| MAILING | NORTHERN WESTCHESTER HOSPITAL 400 EAST MAIN STREET | Mount Kisco, NY 10548 |
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