Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1984
NPI: 1487626289
Practice Locations (2)
1 CARMAN GATE
Massapequa, NY 117583751
1 CARMAN GATE
MASSAPEQUA, NY 117583751
5167954343
Source: CMS National Downloadable File, September 2026.