Medical school: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated: 1995
NPI: 1376546853
Practice Locations (1)
NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
66 COMMACK RD, SUITE 103
COMMACK, NY 117253405
6316591620
Source: CMS National Downloadable File, September 2026.