Medical school: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1992
NPI: 1720092968
Practice Locations (2)
NEW YORK UNIVERSITY
150 55TH ST
BROOKLYN, NY 112202508
7186307000
NEW YORK UNIVERSITY
111 BROADWAY
NEW YORK, NY 100061901
2122639700
Source: CMS National Downloadable File, September 2026.