Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1981
Offers telehealth
NPI: 1659376689
Practice Locations (1)
ACTIVE VITAL CARE LLC
1928 E HIGHLAND AVE, SUITE F104
PHOENIX, AZ 850164626
8332420100
Source: CMS National Downloadable File, September 2026.