Medical school: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1995
Also: FAMILY PRACTICE
Offers telehealth
NPI: 1164549382
Practice Locations (1)
NEW YORK SOCIETY FOR THE RELIEF OF RUPTURED AND CRIPPLED MAINTAINING
17660 UNION TPKE, SUITE 190
FRESH MEADOWS, NY 113661538
7185915693
Source: CMS National Downloadable File, September 2026.