Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 1984
NPI: 1669400180
Practice Locations (2)
161 MADISON AVE, SUITE 5NE
New York, NY 100165421
161 MADISON AVE
NEW YORK, NY 100165421
2126842424
Source: CMS National Downloadable File, September 2026.