Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 1990
NPI: 1699760835
Practice Locations (2)
NEW YORK UNIVERSITY
530 1ST AVE
NEW YORK, NY 100166402
NEW YORK UNIVERSITY
550 1ST AVE
NEW YORK, NY 100166402
2122636037
Source: CMS National Downloadable File, September 2026.