Graduated: 1989
NPI: 1801989082
Practice Locations (2)
PEDIATRIC PHYSICIAN SERVICES, INC.
601 5TH ST S, SUITE 5
ST PETERSBURG, FL 337014804
7277274429
FPA HOSPITAL BASED
1 GUSTAVE L LEVY PL
NEW YORK, NY 100296504
2122416426
Source: CMS National Downloadable File, September 2026.