Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1992
Offers telehealth
NPI: 1619049681
Practice Locations (3)
1410 LPGA BLVD, SUITE 148
DAYTONA BEACH, FL 321175115
925 N 4TH ST
WILMINGTON, NC 284013450
15 GRUMMAN RD W, SUITE 1400
BETHPAGE, NY 117115029
Source: CMS National Downloadable File, September 2026.