Medical school: HARVARD MEDICAL SCHOOL
Graduated: 1993
NPI: 1689630550
Practice Locations (3)
700 HICKSVILLE RD
BETHPAGE, NY 117143471
1 PARK AVE FL, SUITE 11
New York, NY 100165818
1 PARK AVE, FL 11
NEW YORK, NY 100165803
Source: CMS National Downloadable File, September 2026.