Medical school: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated: 1990
NPI: 1699704262
Practice Locations (1)
NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
59 SOUTHERN BLVD
NESCONSET, NY 117671090
6316591700
Source: CMS National Downloadable File, September 2026.