Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Jun 20, 2006
License(s)
234751 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | HSC LEVEL 4 ROOM 120 | Stony Brook, NY 11794-8460 | 631-444-5400 |
| MAILING | HSC LEVEL 4 RM 120 | Stony Brook, NY 11794-0001 | 631-444-5400 |
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