Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 1992
NPI: 1295765378
Practice Locations (2)
15408 NORTHERN BLVD
FLUSHING, NY 113545040
7183583151
15408 NORTHERN BLVD, SUITE 2I
FLUSHING, NY 113545042
Source: CMS National Downloadable File, September 2026.