Medical school: TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated: 1998
NPI: 1457355224
Practice Locations (2)
MEDICAL DIRECTOR SERVICES PC
10421 STATE ROUTE 40
GRANVILLE, NY 128325713
5186422346
282 NEW HACKENSACK RD
WAPPINGERS FALLS, NY 125901402
8454628637
Source: CMS National Downloadable File, September 2026.