Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Nov 17, 2005
License(s)
172528 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 4802 10TH AVENUE | Brooklyn, NY 11219 | |
| LOCATION | 4802 10TH AVENUE | Brooklyn, NY 11219 | 800-627-4470 |
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