New York
Sullivan
Swan Lake
Family Medicine
canceled
G17705
1968
medical activities:
patient care - 40+ hours
license issued on November 25, 1969;Primary specialty: family practice
State University of N.y. Upstate Medical Ctr, College of Medicine (graduated in 1968)
1 YEAR of post graduate training
No affiliations
No associations
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Profile ID: FRUS-MDS-P-140845