Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1992
NPI: 1689641029
Practice Locations (1)
NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
1 S CENTRAL AVE
VALLEY STREAM, NY 115805443
5166323350
Source: CMS National Downloadable File, September 2026.