Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 1983
NPI: 1831203413
Practice Locations (4)
150 -12
WHITESTONE, NY 11357
150 -12
WHITESTONE, NY 113574147
15012 14TH AVE
WHITESTONE, NY 113571800
15012 14TH AVE
WHITESTONE, NY 113574147
7187674631
Source: CMS National Downloadable File, September 2026.