Medical school: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1990
NPI: 1891826491
Practice Locations (2)
150 W 95TH ST, SUITE 1A
New York, NY 100256612
150 W 95TH ST, APT 1A
NEW YORK, NY 100256612
9176239205
Source: CMS National Downloadable File, September 2026.