Registry details
Type
Organization
Primary specialty
Physician Assistant
Enumerated
Nov 27, 2018
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 107 EAST 4TH STREET 1ST FLOOR | Brooklyn, NY 11218 | 917-568-7033 |
| LOCATION | 1233 2ND AVENUE | New York, NY 10065 | 212-606-1000 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.