Medical school: MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduated: 1985
NPI: 1184653750
Practice Locations (2)
131 -76 LAURELTON PKWY
ROSEDALE, NY 114221315
13176 LAURELTON PKWY
ROSEDALE, NY 114221315
7185257125
Source: CMS National Downloadable File, September 2026.