Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1984
NPI: 1679592083
Practice Locations (4)
79 -01 BROADWAY
ELMHURST, NY 113731329
7901 BROADWAY
ELMHURST, NY 113731329
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
7901 BROADWAY
ELMHURST, NY 113731329
11203 QUEENS BLVD, SUITE 204
FOREST HILLS, NY 113755550
7188970516
Source: CMS National Downloadable File, September 2026.