New York
Office of the Professions
PORT ABRAHAM
Medicine (Physician, Including M Ds & D Os)
License number
151163
Date granted
08/06/1982
Date expires
03/31/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
OCEANSIDE NY
nymedicine.org
ID 30247677
LAST UPDATED 2026-04-18 19:02:07 UTC
LAST UPDATED 2026-04-18 19:02:07 UTC
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