Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
May 17, 2006
License(s)
133068 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1780 BROADWAY 11TH FLOOR | New York, NY 10019-1414 | 212-590-2916 |
| LOCATION | 1000 10TH AVE ROOSEVELT HOSPITAL | New York, NY 10019-1147 | 212-590-2916 |
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