New York
Office of the Professions
UNG LYNCEAN
Medicine (Physician, Including M Ds & D Os)
License number
276342
Date granted
07/23/2014
Date expires
06/30/2016
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
WEST ISLIP NY
nymedicine.org
ID 30300323
LAST UPDATED 2026-03-20 04:28:44 UTC
LAST UPDATED 2026-03-20 04:28:44 UTC
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