Graduated: 1988
NPI: 1508042169
Practice Locations (4)
221 RIVER ST, SUITE 9
HOBOKEN, NJ 070305990
2129510025
117 E 77TH ST
NEW YORK, NY 100751823
2129510025
117 E 77TH ST, APT 1A
NEW YORK, NY 100751823
2129510025
NORTH SHORE-LIJ MEDICAL PC
475 SEAVIEW AVE
STATEN ISLAND, NY 103053436
2124346980
Source: CMS National Downloadable File, September 2026.