New York
Office of the Professions
SOUS MANAL A
Medicine (Physician, Including M Ds & D Os)
License number
208765
Date granted
10/24/1997
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
NORTH HALEDON NJ
nymedicine.org
ID 30285424
LAST UPDATED 2026-04-27 09:56:27 UTC
LAST UPDATED 2026-04-27 09:56:27 UTC
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