Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1994
NPI: 1639155419
Practice Locations (1)
CITY MEDICAL OF UPPER EAST SIDE PLLC
4410 SUNRISE HWY
MASSAPEQUA, NY 117585346
5169981024
Source: CMS National Downloadable File, September 2026.