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Case Number and Status

Case Number: I-200-15056-676529

Submitted on:

CERTIFIED

on:

Employment

From: 2015-08-22

To: 2018-08-22 (1,096 days)

Address

2375 New York Avenue N/a
Huntington Station, NY 11746

Phone

6315498120


Attorney Summary

Location
New York, NY

Job Summary

Job Title
Physician
City and State
Huntington Station, NY
County
Suffolk

Soc Code
29-1062.00
Naics Code
Industry Code
621111