Medical school: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated: 1992
Also: MAXILLOFACIAL SURGERY
NPI: 1447353065
Practice Locations (1)
784 PARK AVE
NEW YORK, NY 100213553
2124728700
Source: CMS National Downloadable File, September 2026.
This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Medical school: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated: 1992
Also: MAXILLOFACIAL SURGERY
NPI: 1447353065
784 PARK AVE
NEW YORK, NY 100213553
2124728700
Source: CMS National Downloadable File, September 2026.