Registry details
Type
Individual
Primary specialty
Dermatology, MOHS-Micrographic Surgery
Enumerated
Aug 31, 2009
License(s)
P71691 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 7A MEDICAL PARK DR | Pomona, NY 10970-3516 | 845-354-1169 |
| LOCATION | 7A MEDICAL PARK DR | Pomona, NY 10970-3516 | 845-354-1169 |
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.