Medical school: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1003922386
Practice Locations (1)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
5 E 98TH ST, FL 8
NEW YORK, NY 100296501
2127316870
Source: CMS National Downloadable File, September 2026.