Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 1994
NPI: 1083692156
Practice Locations (1)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
200 OLD COUNTRY RD, SUITE 520
MINEOLA, NY 115014298
5168770977
Source: CMS National Downloadable File, September 2026.