Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1989
Offers telehealth
NPI: 1477530582
Practice Locations (1)
EASTSIDE MEDICAL PRACTICE, P.C.
20 E 46TH ST, RM 200
NEW YORK, NY 100179287
2124813600
Source: CMS National Downloadable File, September 2026.