Registry details
Type
Individual
Primary specialty
Internal Medicine, Cardiovascular Disease
Enumerated
May 26, 2015
License(s)
263562 (MA), 309462 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 100 KINGS HWY S | Rochester, NY 14617-5504 | |
| LOCATION | 2365 S CLINTON AVE | Rochester, NY 14618-2663 | 585-442-5320 |
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