Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Mar 31, 2020
License(s)
332948 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 525 E 68TH ST | New York, NY 10065-4870 | 212-746-5454 |
| MAILING | 575 LEXINGTON AVE | New York, NY 10022-6102 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.