Medical school: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated: 1979
NPI: 1295743433
Practice Locations (2)
VJ 96 LLC
400 E BURWELL ST
SALEM, VA 241534329
5403873105
THE CENTER FOR EMOTIONAL CARE AND CHEMICAL DEPENDENCY
400 E BURWELL ST
SALEM, VA 241534386
5403873105
Source: CMS National Downloadable File, September 2026.