Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
May 6, 2009
License(s)
264641 (NY), 264641 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 3060 CRESCENT ST STE B | Astoria, NY 11102-3239 | 718-502-6161 |
| LOCATION | 3060 CRESCENT ST STE B | Astoria, NY 11102-3239 | 718-502-6161 |
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