Medical school: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated: 1997
NPI: 1679626873
Practice Locations (2)
SQUARE CARE MEDICAL GROUP LLP
191 HERRICKS RD
GARDEN CITY PARK, NY 110405236
5167422224
NEW YORK UNIVERSITY
111 BROADWAY
NEW YORK, NY 100061901
2122639700
Source: CMS National Downloadable File, September 2026.