Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Nov 30, 2005
License(s)
140925 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 14 HETTIEFRED RD | Greenwich, CT 06831-3205 | 914-964-4579 |
| LOCATION | 967 N BROADWAY | Yonkers, NY 10701-1301 | 914-964-4330 |
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