Medical school: STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated: 1994
NPI: 1760581672
Practice Locations (3)
GREENWICH HOSPITAL
5 PERRYRIDGE RD
GREENWICH, CT 068304608
2038633000
MGM KETAMINE SERVICES LLC
690 KINDERKAMACK RD, SUITE 103
ORADELL, NJ 076491524
2014833760
MALINA MEDICAL SERVICES PC
7 W 96TH ST, APT 1H
NEW YORK, NY 100256514
2014833760
Source: CMS National Downloadable File, September 2026.