Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1984
NPI: 1063414795
Practice Locations (2)
1973 MORRIS GATE
Seaford, NY 117832454
1973 MORRIS GATE
SEAFORD, NY 117832454
5167850485
Source: CMS National Downloadable File, September 2026.