Registry details
Type
Individual
Primary specialty
Internal Medicine, Cardiovascular Disease
Enumerated
Oct 11, 2006
License(s)
241158 (NY), 241158 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 407 AIRPORT EXECUTIVE PARK | Nanuet, NY 10954-5288 | |
| LOCATION | 1650 GRAND CONCOURSE | Bronx, NY 10457-7606 | 718-960-1443 |
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