Medical school: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduated: 1995
Offers telehealth
NPI: 1114952892
Practice Locations (1)
NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED AND CRIPPLED MAINTAIN
429 E 75TH ST
NEW YORK, NY 100213102
2127747598
Source: CMS National Downloadable File, September 2026.