Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Aug 9, 2010
License(s)
263463 (NY), 263256 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1101 STEWART AVE SUITE 100 | Garden City, NY 11530-4892 | 516-243-8506 |
| LOCATION | 1101 STEWART AVE SUITE 100 | Garden City, NY 11530-4892 | 516-243-8506 |
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