New York
Office of the Professions
SOE EIEI PHYU
Medicine (Physician, Including M Ds & D Os)
License number
270720
Date granted
06/13/2013
Date expires
02/28/2017
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
BROOKLYN NY
nymedicine.org
ID 30245052
LAST UPDATED 2026-04-21 03:40:28 UTC
LAST UPDATED 2026-04-21 03:40:28 UTC
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