Medical school: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1992
Offers telehealth
NPI: 1710080502
Practice Locations (2)
136 BEACH 117TH ST, APT 502
ROCKAWAY PARK, NY 116942061
9178460242
15 FLETCHER AVE
VALLEY STREAM, NY 115804000
5168725010
Source: CMS National Downloadable File, September 2026.