Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 1983
NPI: 1023067535
Practice Locations (3)
1300 UNION TPKE, SUITE 303
Hew Hyde Park, NY 110401759
1300 UNION TPKE
NEW HYDE PARK, NY 110401759
1300 UNION TURNPIKE, SUITE 303
NEW HYDE PARK, NY 110401759
5163260333
Source: CMS National Downloadable File, September 2026.