Graduated: 1989
NPI: 1700039559
Practice Locations (2)
WYCKOFF PROFESSIONAL MEDICAL SERVICES PC
374 STOCKHOLM ST
BROOKLYN, NY 112374006
7189637266
NORTH SHORE-LIJ MEDICAL PC
10201 66TH RD
FOREST HILLS, NY 113752029
7188304000
Source: CMS National Downloadable File, September 2026.