Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
May 24, 2007
License(s)
333920 (NY), 088930-23 (NH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 111 MALTESE DR | Middletown, NY 10940-2115 | 845-342-4774 |
| LOCATION | 1 MEDICAL CENTER DR | Lebanon, NH 03756-0001 | 603-650-5000 |
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