Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 1963
NPI: 1700948650
Practice Locations (2)
200 GRAND AVE, SUITE 204
ENGLEWOOD, NJ 076304363
2018160600
45 E 72ND ST, APT 1A
NEW YORK, NY 100214178
2128793292
Source: CMS National Downloadable File, September 2026.