Medical school: CHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduated: 1994
Also: GENERAL SURGERY
NPI: 1801840509
Practice Locations (2)
639 PORT WASHINGTON BLVD
PORT WASHINGTON, NY 110503733
5168832212
639 PORT WASHINGTON BOULEVARD
PORT WASHINGTON, NY 110503733
Source: CMS National Downloadable File, September 2026.