Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1982
Offers telehealth
NPI: 1104914100
Practice Locations (1)
MAIDEN LANE MEDICAL PLLC
90 MAIDEN LN, FL 3
NEW YORK, NY 100384831
6462909560
Source: CMS National Downloadable File, September 2026.