Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Jun 1, 2005
License(s)
157345 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 180 E MAIN ST | Bay Shore, NY 11706-8427 | 631-968-8400 |
| LOCATION | 180 E MAIN ST | Bay Shore, NY 11706-8427 | 631-968-8400 |
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