Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Nov 2, 2005
License(s)
165706-1 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2 CATHARINE ST | Poughkeepsie, NY 12601-3100 | 845-790-2661 |
| LOCATION | 70 DUBOIS ST | Newburgh, NY 12550-4851 | 845-561-4400 |
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