Medical school: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated: 1977
NPI: 1902895808
Practice Locations (2)
FPA HOSPITAL BASED
100 TH ST AND MADISON AVE
NEW YORK, NY 100296503
2122416500
FPA HOSPITAL BASED
1176 5TH AVE
NEW YORK, NY 100296503
2122418395
Source: CMS National Downloadable File, September 2026.