Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Aug 5, 2007
License(s)
BP1-0029108 (TX), 265077 (NY), N4881 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 750 E ADAMS ST RADIOLOGY DEPARTMENT | Syracuse, NY 13210-2342 | 315-464-7433 |
| LOCATION | 750 E ADAMS ST RADIOLOGY DEPARTMENT | Syracuse, NY 13210-2342 | 315-464-7433 |
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