Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Aug 31, 2005
License(s)
111101-1 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 450 CLARKSON AVE BOX 1262 | Brooklyn, NY 11203-2056 | 718-270-8867 |
| LOCATION | 450 CLARKSON AVE | Brooklyn, NY 11203-2056 | 718-270-3126 |
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