Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1985
NPI: 1568528214
Practice Locations (1)
SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVIC
9525 QUEENS BLVD, SUITE 3D
REGO PARK, NY 113744510
7189256212
Source: CMS National Downloadable File, September 2026.