Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Jun 18, 2014
License(s)
286268 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 550 1ST AVE | New York, NY 10016-6402 | 212-263-5506 |
| LOCATION | 550 1ST AVE | New York, NY 10016-6402 | 212-263-5506 |
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