Medical school: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1977
Offers telehealth
NPI: 1598806267
Practice Locations (1)
NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
6142 MASPETH AVE
MASPETH, NY 113782821
7183261933
Source: CMS National Downloadable File, September 2026.