Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 1972
NPI: 1114092236
Practice Locations (2)
22 MADISON AVE, SUITE 106
PARAMUS, NJ 076522721
2018434944
201 E 87TH ST, APT 12B
NEW YORK, NY 101283214
2127441346
Source: CMS National Downloadable File, September 2026.