Registry details
Type
Individual
Primary specialty
Internal Medicine, Cardiovascular Disease
Enumerated
Nov 16, 2007
License(s)
2339661 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 30 PURITAN AVE | Forest Hills, NY 11375-6029 | 718-250-8866 |
| LOCATION | 240 WILLOUGHBY ST | Brooklyn, NY 11201-5465 | 718-250-8866 |
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