New York
Office of the Professions
IDE ELI
Medicine (Physician, Including M Ds & D Os)
License number
040878
Date granted
08/28/1942
Class
Medicine (Physician, Including M Ds & D Os)
Status
Not Registered
Address
VALLEY STREAM NY
nymedicine.org
ID 30173681
LAST UPDATED 2026-04-15 03:54:38 UTC
LAST UPDATED 2026-04-15 03:54:38 UTC
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