Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 1972
NPI: 1710928304
Practice Locations (2)
1211 WHITE PLAINS RD
Bronx, NY 104724900
1211 WPR MEDICAL SERVICES, 1211 WHITE PLAINS RD
BRONX, NY 104724900
Source: CMS National Downloadable File, September 2026.