Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 1991
NPI: 1689679649
Practice Locations (2)
1501 PASADENA AVE S
SOUTH PASADENA, FL 337073717
1501 PASADENA AV S
S PASADENA, FL 337073717
3343914949
Source: CMS National Downloadable File, September 2026.