Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 1992
Also: GENERAL SURGERY
NPI: 1396805172
Practice Locations (2)
10818 72ND AVE
FOREST HILLS, NY 113751035
7185441171
232 MERRICK RD
LYNBROOK, NY 115632623
8003146004
Source: CMS National Downloadable File, September 2026.