Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1988
Offers telehealth
NPI: 1306824008
Practice Locations (2)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
393 OLD COUNTRY RD
CARLE PLACE, NY 115142131
5168770977
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
200 OLD COUNTRY RD, SUITE 520
MINEOLA, NY 115014298
5168770977
Source: CMS National Downloadable File, September 2026.