Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
Dec 26, 2007
License(s)
282561 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 6711 TOWPATH RD STE 155 | East Syracuse, NY 13057-9581 | 315-701-0070 |
| MAILING | 6711 TOWPATH RD STE 155 | East Syracuse, NY 13057-9581 | 315-701-0070 |
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