Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Jun 9, 2015
License(s)
023741 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 23 HAMMOND LN | Plattsburgh, NY 12901-2000 | 518-562-7305 |
| LOCATION | 23 HAMMOND LN | Plattsburgh, NY 12901-2000 | 518-562-7305 |
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