Medical school: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated: 1984
NPI: 1811941123
Practice Locations (2)
925 HEMPSTEAD TPKE
FRANKLIN SQUARE, NY 110103641
5163524454
925 HEMPSTEAD TURNPIKE
FRANKLIN SQUARE, NY 110103636
Source: CMS National Downloadable File, September 2026.