Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
May 11, 2010
License(s)
278003 (NY), 278003 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 887 HUNTS POINT AVE 1 | Bronx, NY 10474-5412 | 718-576-2512 |
| MAILING | 887 HUNTS POINT AVE 1 | Bronx, NY 10474-5412 | 718-576-2512 |
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