Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 1988
NPI: 1760427231
Practice Locations (2)
STATE OF NEW YORK COMPTROLLERS OFFICE
ROUTE 9W
WEST HAVERSTRAW, NY 109931127
8457864097
STATE OF NEW YORK COMPTROLLERS OFFICE
ROUTE 9W
WEST HAVERSTRAW, NY 109931195
8457864097
Source: CMS National Downloadable File, September 2026.