Medical school: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated: 1981
NPI: 1528050242
Practice Locations (3)
76 -05
FOREST HILLS, NY 113756568
7605 113TH ST
FOREST HILLS, NY 113756568
7182637300
7605 113TH ST
FOREST HILLS, NY 113756585
Source: CMS National Downloadable File, September 2026.