Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1995
NPI: 1447367685
Practice Locations (2)
NEW YORK INSTITUTE OF TECHNOLOGY
267 CARLETON AVE
CENTRAL ISLIP, NY 117224543
6313483254
NEW YORK INSTITUTE OF TECHNOLOGY
600 NORTHERN BLVD
GREENVALE, NY 115481214
5166861300
Source: CMS National Downloadable File, September 2026.