Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1981
Offers telehealth
NPI: 1003850751
Practice Locations (4)
NORTH SHORE-LIJ MEDICAL PC
100 E 77TH ST
NEW YORK, NY 100751850
2124342140
210 E 64TH ST
NEW YORK, NY 100657471
2128389200
438 W 51ST ST
NEW YORK, NY 100196503
2122451331
438 W 51ST ST, SUITE 307A
NEW YORK, NY 100196503
Source: CMS National Downloadable File, September 2026.