Graduated: 1971
NPI: 1710920830
Practice Locations (2)
NASSAU HEALTH CARE CORPORATION
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 115541859
5164866862
NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
155 W MERRICK RD, SUITE 101
FREEPORT, NY 115203743
5163793139
Source: CMS National Downloadable File, September 2026.