Medical school: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1975
Also: DENTIST, MAXILLOFACIAL SURGERY
NPI: 1730258286
Practice Locations (2)
BLACK HALL DENTAL PC
1999 MARCUS AVE, SUITE M1
NEW HYDE PARK, NY 110421023
5165622470
WHITE HALL DENTAL, PC
1 HEROES WAY
RIVERHEAD, NY 119012054
5163047362
Source: CMS National Downloadable File, September 2026.