Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Oct 26, 2006
License(s)
109467 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 12 | Chappaqua, NY 10514-0012 | 718-920-2060 |
| LOCATION | MMC - ORTHOPEDIC SURGERY 3400 BAINBRIDGE AVE., 6TH FLR | Bronx, NY 10467 | 718-920-2060 |
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