Medical school: JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Graduated: 1989
NPI: 1457383150
Practice Locations (2)
8211 37TH AVE, SUITE 604
JACKSON HEIGHTS, NY 113727014
7185779215
12510 QUEENS BLVD, SUITE 305
KEW GARDENS, NY 114151506
7182612666
Source: CMS National Downloadable File, September 2026.