Registry details
Type
Individual
Primary specialty
Dermatology, Procedural Dermatology
Enumerated
Jun 26, 2006
License(s)
134650 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 100 E 74TH ST GROUND FLOOR | New York, NY 10021-3503 | 212-772-3377 |
| LOCATION | 100 E 74TH ST GROUND FLOOR | New York, NY 10021-3503 | 212-772-3377 |
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