Medical school: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1881774446
Practice Locations (3)
80 MARCUS DR
MELVILLE, NY 117474230
150 E 42ND ST
NEW YORK, NY 100175612
214 RIVERSIDE DR, APT 101
NEW YORK, NY 100256805
Source: CMS National Downloadable File, September 2026.