Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
Aug 17, 2017
License(s)
312707 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 211 E 80TH ST | New York, NY 10075-0531 | 211-805-6421 |
| MAILING | 211 E 80TH ST FL 2 | New York, NY 10075-0531 |
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