Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1986
NPI: 1255442232
Practice Locations (1)
MASSAPEQUA DERMATOLOGY PLLC
70 GRAND AVE
MASSAPEQUA, NY 117584906
5167991600
Source: CMS National Downloadable File, September 2026.