Medical school: RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduated: 1987
NPI: 1831127323
Practice Locations (1)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
1 GUSTAVE L LEVY PL
NEW YORK, NY 100296504
2122418014
Source: CMS National Downloadable File, September 2026.