Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1976
Offers telehealth
NPI: 1689640054
Practice Locations (1)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
13516 ROOSEVELT AVE
FLUSHING, NY 113545365
2122418035
Source: CMS National Downloadable File, September 2026.