Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
Feb 25, 2015
License(s)
321094 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 240 E 38TH ST FL 11 | New York, NY 10016-2708 | 212-263-7019 |
| MAILING | 14 WALL ST FL 9 | New York, NY 10005-2178 |
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