Medical school: STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated: 1993
NPI: 1902961667
Practice Locations (2)
800 A 5TH AVE, SUITE 302
New York, NY 100657215
800 A 5TH AVE
NEW YORK, NY 100657215
2123550500
Source: CMS National Downloadable File, September 2026.