Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Apr 5, 2017
License(s)
313616-01 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2201 HEMPSTEAD TPKE | East Meadow, NY 11554-1859 | 516-572-6501 |
| MAILING | 2201 HEMPSTEAD TPKE | East Meadow, NY 11554-1859 | 516-572-0123 |
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