Registry details
Type
Individual
Primary specialty
Internal Medicine, Cardiovascular Disease
Enumerated
Jan 18, 2007
License(s)
229104 (MA), 252950 (NY), 252950 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 630 W 168TH ST BOX 4 | New York, NY 10032-3725 | |
| LOCATION | 622 W 168TH ST | New York, NY 10032-3720 | 212-305-4808 |
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