Medical school: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1976
NPI: 1275744401
Practice Locations (3)
22821 RIDGE RD
GERMANTOWN, MD 208764323
7188849574
3103 FAIRFIELD AVE
Bronx, NY 104633242
3103 FAIRFIELD AVE
BRONX, NY 104633242
7188849574
Source: CMS National Downloadable File, September 2026.