Graduated: 1984
NPI: 1457357667
Practice Locations (2)
ST JOHN'S MEDICAL SERVICES PC
327 BEACH 19TH ST
FAR ROCKAWAY, NY 116914423
7188697919
NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
1420 BROADWAY
HEWLETT, NY 115571321
5167645455
Source: CMS National Downloadable File, September 2026.