Registry details
Type
Organization
Primary specialty
Family Medicine
Enumerated
Jun 12, 2018
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 5548 96TH ST | Corona, NY 11368 | 718-606-1199 |
| MAILING | 5548 96TH ST | Corona, NY 11368-3009 |
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