Registry details
Type
Organization
Primary specialty
Family Medicine
Enumerated
Dec 8, 2008
License(s)
240556 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 8716 63RD DR | Rego Park, NY 11374-4826 | |
| LOCATION | 8716 63RD DR | Rego Park, NY 11374-4826 | 917-400-2530 |
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