Medical school: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated: 1973
NPI: 1114023520
Practice Locations (2)
20 PROSPECT AVE, SUITE 613
HACKENSACK, NJ 076011962
2122629500
425 W 59TH ST, FL 10
NEW YORK, NY 100198022
2122629500
Source: CMS National Downloadable File, September 2026.