Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
May 7, 2013
License(s)
289215-01 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 3 LOUIS DR | Melville, NY 11747-1901 | 917-623-7111 |
| MAILING | 3 LOUIS DR | Melville, NY 11747-1901 | 917-623-7111 |
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