Graduated: 1988
NPI: 1700829108
Practice Locations (2)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
2510 30TH AVE
ASTORIA, NY 111022448
7189321000
SOUTHWEST SUFFOLK MEDICAL PC
1000 N VILLAGE AVE
ROCKVILLE CENTER, NY 115701000
5167052689
Source: CMS National Downloadable File, September 2026.