Medical school: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated: 1994
NPI: 1801896030
Practice Locations (2)
216 -21 HOLLIS AVE
QUEENS VILLAGE, NY 114291948
2134201566
21621 HOLLIS AVE
QUEENS VILLAGE, NY 114291948
7187762223
Source: CMS National Downloadable File, September 2026.