Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1980
NPI: 1255422234
Practice Locations (2)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
1 GUSTAVE L LEVY PL
NEW YORK, NY 100296504
2127317822
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
1111 AMSTERDAM AVE
NEW YORK, NY 100251716
2124203581
Source: CMS National Downloadable File, September 2026.