Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 1989
Offers telehealth
NPI: 1366412660
Practice Locations (1)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
1 GUSTAVE L LEVY PL
NEW YORK, NY 100296504
2122414572
Source: CMS National Downloadable File, September 2026.