Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Jun 10, 2006
License(s)
089223 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 89-06 135TH STREET 7L | Jamaica, NY 11418 | 718-206-6984 |
| LOCATION | 1 BROOKDALE PLAZA TJH MEDICAL SERVICES PC RM 727 CHC | Brooklyn, NY 11212 | 718-240-5353 |
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