Medical school: BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1980
NPI: 1063570083
Practice Locations (2)
1421 3RD AVE, APT 4
NEW YORK, NY 100281933
2124521500
210 E 64TH ST, FL 3
NEW YORK, NY 100657471
2124521500
Source: CMS National Downloadable File, September 2026.