Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 1985
Offers telehealth
NPI: 1366573396
Practice Locations (2)
4701 QUEENS BLVD, SUITE 404
Sunnyside, NY 111041623
47 -01 QUEENS BLVD, SUITE 404
SUNNYSIDE, NY 111041623
7187798860
Source: CMS National Downloadable File, September 2026.