Graduated: 1987
NPI: 1861430076
Practice Locations (2)
800 GRAND CONCOURSE, FRNT OFFICE5
BRONX, NY 104513003
7184012300
NORTH SHORE MEDICAL GROUP OF THE MOUNT SINAI SCHOOL OF MEDICINE
3722 82ND ST
JACKSON HEIGHTS, NY 113727040
7188791600
Source: CMS National Downloadable File, September 2026.