Medical school: UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1578637880
Practice Locations (5)
1 HOSPITAL PLZ
STAMFORD, CT 069023602
1 OMEGA DR
STAMFORD, CT 069072336
PO BOX, SUITE 191
ROCKLAND, DE 19732
575 LEXINGTON AVE
NEW YORK, NY 100226150
PO BOX
NEW YORK, NY 10087
Source: CMS National Downloadable File, September 2026.