Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 1986
NPI: 1245269091
Practice Locations (1)
NORTHEAST MEDICAL GROUP, PLLC
145 HUGUENOT ST, SUITE 215
NEW ROCHELLE, NY 108015210
9142356060
Source: CMS National Downloadable File, September 2026.