Registry details
Type
Individual
Primary specialty
Dermatology, Dermatopathology
Enumerated
Jul 1, 2016
License(s)
96214 (ZZ)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 70 4TH PL APT. 2B | Brooklyn, NY 11231-4070 | 718-785-7627 |
| LOCATION | 70 4TH PL APT. 2B | Brooklyn, NY 11231-4070 | 718-785-7627 |
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