Medical school: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated: 1987
NPI: 1740343664
Practice Locations (3)
PO BOX, SUITE 551420
FORT LAUDERDALE, FL 333551420
68 S SERVICE RD
MELVILLE, NY 117472354
68 S SERVICE RD, SUITE 350
MELVILLE, NY 117472358
Source: CMS National Downloadable File, September 2026.