New York
Office of the Professions
OLDS TIA D
Medicine (Physician, Including M Ds & D Os)
License number
231410
Date granted
02/25/2004
Date expires
03/31/2017
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
REXFORD NY
nymedicine.org
ID 30235164
LAST UPDATED 2024-05-12 17:26:09 UTC
LAST UPDATED 2024-05-12 17:26:09 UTC
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