Medical school: KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated: 1972
NPI: 1245237098
Practice Locations (3)
2240 MOTT AVE
FAR ROCKAWAY, NY 116913028
2240 MOTT AVE
FAR ROCKAWAY, NY 116913070
7184713159
2240 MOTT AVE, SUITE A
FAR ROCKAWAY, NY 116913028
Source: CMS National Downloadable File, September 2026.