Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1986
NPI: 1497825830
Practice Locations (2)
332 SUMMIT AVE
HACKENSACK, NJ 076011430
2014886445
2800 MARCUS AVE, SUITE 203
NEW HYDE PARK, NY 110421113
5162331952
Source: CMS National Downloadable File, September 2026.