Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
May 15, 2015
License(s)
285104 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 234 E 85TH ST FL 5 | New York, NY 10028-3001 | 212-241-6585 |
| MAILING | 450 CLARKSON AVE | Brooklyn, NY 11203-2098 |
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