Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Feb 26, 2022
License(s)
327268 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 333 E 91ST ST APT 4A | New York, NY 10128-5884 | |
| LOCATION | 1 GUSTAVE L LEVY PL | New York, NY 10029-6504 | 212-241-6696 |
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