Graduated: 1997
NPI: 1366831190
Practice Locations (2)
CITY MEDICAL OF UPPER EAST SIDE PLLC
336 E 86TH ST
NEW YORK, NY 100284615
2127723627
CITY MEDICAL OF UPPER EAST SIDE PLLC
4724 NESCONSET HWY
PORT JEFFERSON STATION, NY 117762580
6314745900
Source: CMS National Downloadable File, September 2026.