Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Apr 8, 2006
License(s)
155539 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2446 WASHINGTON AVE | Oceanside, NY 11572 | 516-536-0946 |
| LOCATION | 2446 WASHINGTON AVE | Oceanside, NY 11572 | 516-536-0946 |
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