Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1984
Offers telehealth
NPI: 1194756684
Practice Locations (3)
63 ARLINGTON AVE
Providence, RI 029063209
295 GOVERNOR ST
PROVIDENCE, RI 029063241
4013512111
63 ARLINGTON AVE
PROVIDENCE, RI 029063209
Source: CMS National Downloadable File, September 2026.