Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
May 17, 2007
License(s)
251282-1 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 5645 MAIN ST DEPT OF ANESTHESIOLOGY | Flushing, NY 11355-5045 | 718-670-1080 |
| MAILING | 575 LEXINGTON AVE | New York, NY 10022-6102 | 917-562-0296 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.