Medical school: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1978
NPI: 1457433005
Practice Locations (2)
SOUTHSIDE FACULTY MEDICAL AFFILIATES UNIVERSITY FACULTY PRACTICE CORP
9525 QUEENS BLVD
REGO PARK, NY 113744510
7183605522
NORTH SHORE-LIJ MEDICAL PC
475 SEAVIEW AVE
STATEN ISLAND, NY 103053436
2124346980
Source: CMS National Downloadable File, September 2026.