Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 1987
NPI: 1831197334
Practice Locations (2)
110 -06, SUITE MD1
FOREST HILLS, NY 113754934
11006 72ND AVE, SUITE MD1
FOREST HILLS, NY 113754934
7187936779
Source: CMS National Downloadable File, September 2026.