Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1134118771
Practice Locations (4)
PARK SOUTH MEDICAL PLLC
1545 UNIONPORT RD
BRONX, NY 104627714
7188922201
PARK SOUTH MEDICAL PLLC
1545 UNIONPORT RD, PARK SOUTH MEDICAL
BRONX, NY 104627714
1545 UNIONPORT RD, PARK SOUTH MEDICAL PLLC
BRONX, NY 104627714
108 E 86TH ST
NEW YORK, NY 100281024
2127170352
Source: CMS National Downloadable File, September 2026.