Medical school: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated: 1990
NPI: 1609875442
Practice Locations (2)
1317 3RD AVE
NEW YORK, NY 100212995
2127727000
1317 3RD AVE, GROUND FLOOR
NEW YORK, NY 100212995
Source: CMS National Downloadable File, September 2026.