Graduated: 1982
Also: GENERAL PRACTICE
NPI: 1558318550
Practice Locations (2)
CITY MEDICAL OF UPPER EAST SIDE PLLC
292 HERRICKS RD
MINEOLA, NY 115011119
5167462273
39 CELANO LN
WEST ISLIP, NY 117955105
6312738100
Source: CMS National Downloadable File, September 2026.