Graduated: 1993
NPI: 1932190147
Practice Locations (2)
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
2510 30TH AVE
LONG ISLAND CITY, NY 111022448
2122414572
MOUNT SINAI SCHOOL OF MEDICINE
1 HEALTHY WAY
OCEANSIDE, NY 115721551
5166323670
Source: CMS National Downloadable File, September 2026.