Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Jan 31, 2014
License(s)
017332-1 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1978 CROMPOND RD | Cortlandt Manor, NY 10567-4111 | 914-241-1040 |
| MAILING | 254 CEDAR HILL AVE | Nyack, NY 10960-2425 | 973-826-8291 |
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