Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
Sep 22, 2006
License(s)
MD211745 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 45 EAST 25TH STREET APT 28A | New York, NY 10010 | 212-213-6288 |
| LOCATION | 910 5TH AVENUE | New York, NY 10021 | 212-400-0999 |
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