Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 1984
NPI: 1831152115
Practice Locations (2)
7959 MYRTLE AVE
GLENDALE, NY 113857451
7184183041
NORTH SHORE LIJ MEDICAL GROUP AT NORTH NASSAU, PC
27005 75TH AVE
NEW HYDE PARK, NY 110401402
7184707000
Source: CMS National Downloadable File, September 2026.