Registry details
Type
Organization
Primary specialty
General Practice
Enumerated
Oct 10, 2017
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 435 FORT WASHINGTON AVE APT 2B | New York, NY 10033-3527 | 212-923-0408 |
| LOCATION | 436 FORT WASHINGTON AVE APT 1A | New York, NY 10033-3533 | 212-923-0408 |
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