Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1988
Offers telehealth
NPI: 1457484743
Practice Locations (2)
25 CANTERBURY RD
GREAT NECK, NY 110212124
5168298031
25 CANTERBURY RD, LEVEL
GREAT NECK, NY 110212124
Source: CMS National Downloadable File, September 2026.