Medical school: PERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated: 1992
NPI: 1114977733
Practice Locations (2)
153 JERICHO TPKE, UNIT B
MINEOLA, NY 115011706
5168730200
153 JERICHO TPKE B
MINEOLA, NY 115011706
Source: CMS National Downloadable File, September 2026.