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Case Number and Status

Case Number: I-200-15239-909562

Submitted on:

CERTIFIED

on:

Employment

From: 2015-10-14

To: 2018-10-13 (1,095 days)

Address

111 East 210th Street
Bronx, NY 10467

Phone

7189205665


Attorney Summary

Location
New York, NY

Job Summary

Job Title
Physician
City and State
Bronx, NY
County
Bronx

Soc Code
29-1069.00
Naics Code
Industry Code
622110