Medical school: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduated: 1992
NPI: 1588673552
Practice Locations (2)
509 W MERRICK RD
VALLEY STREAM, NY 115805252
509 W MERRICK RD, SUITE 101
VALLEY STREAM, NY 115805252
5165618188
Source: CMS National Downloadable File, September 2026.