Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 1986
NPI: 1336168954
Practice Locations (2)
17 BRINKERHOFF TER
PALISADES PARK, NJ 076501101
2015411070
247 3RD AVE, RM 304
NEW YORK, NY 100107454
2125059800
Source: CMS National Downloadable File, September 2026.