Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 1983
NPI: 1891705448
Practice Locations (2)
11 5TH AVE, SUITE B
NEW YORK, NY 100034342
11 5TH AVE B
NEW YORK, NY 100034342
2127771644
Source: CMS National Downloadable File, September 2026.