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Case Number and Status

Case Number: I-200-15247-983067

Submitted on:

CERTIFIED

on:

Employment

From: 2015-09-15

To: 2018-09-15 (1,096 days)

Address

581 Chestnut Street
Cedarhurst, NY 11516

Phone

5165692828


Attorney Summary

Location
New York, NY

Job Summary

Job Title
Primary Physician
City and State
Cedarhurst, NY
County
Nassau

Soc Code
29-1062.00
Naics Code
Industry Code
62111