Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 1980
NPI: 1063596898
Practice Locations (2)
350 NATIONAL BLVD, 2C
Long Beach, NY 115613327
350 NATIONAL BLVD, SUITE 2C
LONG BEACH, NY 115613327
5164320545
Source: CMS National Downloadable File, September 2026.