Graduated: 1988
NPI: 1801842026
Practice Locations (2)
NEW YORK UNIVERSITY
111 BROADWAY
NEW YORK, NY 100061901
2122639700
NEW YORK UNIVERSITY
1486 DEER PARK AVE, UNIT A
NORTH BABYLON, NY 117031214
6314423200
Source: CMS National Downloadable File, September 2026.