Registry details
Type
Individual
Primary specialty
Plastic Surgery
Enumerated
Apr 2, 2015
License(s)
303070 (NY), 303070 (NY), 303070 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 999 FRANKLIN AVE | Garden City, NY 11530-2913 | 405-219-1787 |
| LOCATION | 999 FRANKLIN AVE | Garden City, NY 11530-2913 | 516-231-6383 |
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