Medical school: GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1980
NPI: 1609947878
Practice Locations (2)
10 MEDICAL PLZ
GLEN COVE, NY 115422170
86 FOREST AVE, SUITE 1 C
GLEN COVE, NY 115422194
5166714110
Source: CMS National Downloadable File, September 2026.