Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Nov 9, 2005
License(s)
1263871 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 3311 HYLAN BLVD | Staten Island, NY 10306-3688 | 718-667-7500 |
| MAILING | 2535 ARTHUR KILL RD | Staten Island, NY 10309-1207 | 718-448-3210 |
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