Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 1994
NPI: 1669418703
Practice Locations (2)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
1111 AMSTERDAM AVE
NEW YORK, NY 100251716
2129873100
CITY MEDICAL OF UPPER EAST SIDE PLLC
2398 BROADWAY
NEW YORK, NY 100241703
2127212111
Source: CMS National Downloadable File, September 2026.