Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 1996
Also: GENERAL PRACTICE
NPI: 1487613626
Practice Locations (8)
AUBURN MEMORIAL MEDICAL SERVICES PC
143 N ST, SUITE 1
AUBURN, NY 130211852
3152531832
BUSHWICK MEDICAL OF NEW YORK LLC
4025 HEMPSTEAD TPKE, SUITE C
BETHPAGE, NY 117145606
9292079470
FOXHURST MEDICAL OF NEW YORK LLC
947 SOUTHERN BLVD, SUITE B
BRONX, NY 104593401
7185135855
BUSHWICK MEDICAL OF NEW YORK LLC
441 KNICKERBOCKER AVE, SUITE B
BROOKLYN, NY 112374508
3477732684
BUSHWICK MEDICAL OF NEW YORK LLC
11602 QUEENS BLVD, SUITE C
FOREST HILLS, NY 113757055
3475355608
FOXHURST MEDICAL OF NEW YORK LLC
16203 JAMAICA AVE, SUITE 200C
JAMAICA, NY 114324909
8475938460
BUSHWICK MEDICAL OF NEW YORK LLC
155 DYCKMAN ST, SUITE C
NEW YORK, NY 100401003
6467983978
PELHAM PKWY MEDICAL OF NEW YORK LLC
260 W SUNRISE HWY, SUITE C
VALLEY STREAM, NY 115811011
3474297699
Source: CMS National Downloadable File, September 2026.