Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1984
NPI: 1639173347
Practice Locations (4)
PO BOX, SUITE 551420
FORT LAUDERDALE, FL 333551420
P O BOX, SUITE 2000
EAST SYRACUSE, NY 130579926
68 S SERVICE RD, SUITE 350
Melville, NY 117472358
68 S SERVICE RD, SUITE 350
MELVILLE, NY 117472358
Source: CMS National Downloadable File, September 2026.