Graduated: 1977
NPI: 1619049095
Practice Locations (3)
211 W 56TH ST, APT. 10K
New York, NY 100194312
211 W 56TH ST, 10K
NEW YORK, NY 100194318
211 W 56TH ST, SUITE 1015
NEW YORK, NY 100194312
2127656164
Source: CMS National Downloadable File, September 2026.