Graduated: 1979
Offers telehealth
NPI: 1063434355
Practice Locations (3)
333 E 49TH ST K
NEW YORK, NY 100171609
2127518020
114 SOUNDVIEW TER
NORTHPORT, NY 117681230
6317547013
114 SOUNDVIEW TERRACE
NORTHPORT, NY 117681230
Source: CMS National Downloadable File, September 2026.