Medical school: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated: 1996
NPI: 1629193941
Practice Locations (2)
OPTUM MEDICAL CARE PC
90 S BEDFORD RD
MOUNT KISCO, NY 105493412
9142411050
OPTUM MEDICAL CARE PC
9525 QUEENS BLVD
REGO PARK, NY 113744510
7189755200
Source: CMS National Downloadable File, September 2026.